Active NPI
John G Bush Jr., M.D.
- Obstetrics Physician
- Park Ridge, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 036.133513
- Practice address
- 350 S Northwest Hwy Ste 112
Park Ridge, IL 60068-4262 - Phone
- (847) 825-8108
- Fax
- (847) 825-1774
- NPI assigned
- Apr 7, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | 036.133513 | IL | Primary |
Addresses
Primary practice location
350 S Northwest Hwy Ste 112
Park Ridge, IL 60068-4262
Mailing address
2801 Lakeside Dr
Ste 209
Bannockburn, IL 60015-1271
Phone (847) 562-1410
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01242540 | Other | IL | TRICARE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbush251615@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Tulane University School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
350 S Northwest Hwy
Suite 112
Park Ridge, IL 60068-4262
Phone (847) 825-8108
Hospital & facility affiliations
- Amita Health Resurrection Medical Center
- Advocate Lutheran General Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.133513 | IL | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Center for Women'S Health Care, LTD. | Current | Accepting new patients | |
| Presence Healthcare Services | Current | Accepting new patients | |
| Prime Healthcare Illinois Medical Group LLC | Current | Accepting new patients | |
| Obhg Illinois SC | Current | Accepting new patients |
Locations
1801 W Olympic Blvd
#2636
Pasadena, CA 91199
1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756
2801 Lakeside Dr
Ste 209
Bannockburn, IL 60015
Phone (847) 562-1410
100 Provena Way
Ste 103
Bourbonnais, IL 60914
Phone (815) 937-8780
62311 Collection Ctr Dr
Chicago, IL 60693
100 N River Rd
Des Plaines, IL 60016
Phone (847) 297-1800
1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923
201 N Hammes Ave
Joliet, IL 60435
Phone (224) 273-6350
601 Skokie Blvd
Ste 400
Northbrook, IL 60062
Phone (847) 562-1410
350 S Northwest Hwy
Ste 112
Park Ridge, IL 60068
Phone (847) 825-8108
250 Center Dr
Ste 101
Vernon Hills, IL 60061
Phone (847) 918-7050
Interoperability endpoints
- jbush251615@direct.myadvocateaurora.org
- john.bush.jr.1@21117.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Bannockburn, IL
- NPI 1447200654
-
- Obstetrics & Gynecology Physician
- Berwyn, IL
- NPI 1700107216
-
- Multi-Specialty Clinic/Center
- Des Plaines, IL
- NPI 1023837689
-
- Multi-Specialty Clinic/Center
- Elk Grove Village, IL
- NPI 1932216819
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Park Ridge, IL
- NPI 1164539730
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1811735228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640649600000",
"number": "1710120779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 LAKESIDE DR",
"address_2": "STE 209",
"city": "BANNOCKBURN",
"state": "IL",
"postal_code": "600151271",
"telephone_number": "847-562-1410",
"fax_number": "847-562-0830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 S NORTHWEST HWY STE 112",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600684262",
"telephone_number": "847-825-8108",
"fax_number": "847-825-1774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSH",
"first_name": "JOHN",
"middle_name": "G",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-07",
"last_updated": "2021-12-28",
"certification_date": "2021-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "IL",
"license": "036.133513",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "P01242540",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jbush251615@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "350 S Northwest Hwy Ste 112",
"city": "Park Ridge",
"state": "IL",
"country_code": "US",
"postal_code": "600684262",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "350 S Northwest Hwy Ste 112",
"city": "Park Ridge",
"state": "IL",
"country_code": "US",
"postal_code": "600684262",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.