Individual provider Active NPI

John G Bush Jr., M.D.

  • Obstetrics Physician
  • Park Ridge, IL
National Provider Identifier
1710120779
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
036.133513 Issued in IL
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

Updated by the provider on Dec 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P01242540OtherILTRICARE

Electronic endpoints 2

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131017001013 IL Practitioner - Obstetrics/Gynecology 9032343447 Reassigns benefits to 3 organizations

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
Midwest Center for Women'S Healthcare, LTDGroup PAC ID 7012818354, 93 clinicians

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 Hospital, Chicago, IL, CCN 140117
  • Advocate Lutheran General Hospital Hospital, Park Ridge, IL, CCN 140223

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.133513ILMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Center for Women'S Health Care, LTD. CurrentSince Sep 1, 2013 Accepting new patients
Presence Healthcare Services Current Accepting new patients
Prime Healthcare Illinois Medical Group LLC CurrentSince Jul 14, 2025 Accepting new patients
Obhg Illinois SC CurrentSince Oct 1, 2025 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

  • Direct secure messaging: jbush251615@direct.myadvocateaurora.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.