Individual provider Active NPI

Jerome Howard Buster, D.O.

  • Family Medicine Physician
  • Harvey, IL
National Provider Identifier
1861707291
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036127192 Issued in IL
Practice address
31 W 155TH St
Harvey, IL 60426-3556
Phone
(708) 596-5177
NPI assigned
Aug 10, 2010
Last updated
Jul 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036127192 IL Primary

Addresses

Primary practice location

31 W 155TH St
Harvey, IL 60426-3556

Mailing address

31 W 155TH St
Harvey, IL 60426-3556
Phone (708) 596-5177

Other practice location 1

4425 S Archer Ave
Suite A1
Chicago, IL 60632-2853
Phone (773) 910-1046

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
I20110117000180 IL Practitioner - Family PracticePractitioner - Geriatric Medicine 3971792342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Christian Health CenterGroup PAC ID 6507758612, 9 clinicians

Practice addresses (Care Compare)

31 W 155TH St
Harvey, IL 60426-3556
Phone (708) 596-5177

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Christian Health Center CurrentSince Feb 12, 2016 Accepting new patients
Family Christian Health Center CurrentSince Feb 12, 2016 Accepting new patients
Excellent Home Health Physicians Inc. CurrentSince Sep 6, 2010 Accepting new patients
Wheaton Medical SC Family Medicine PastSince Nov 6, 2012 Accepting new patients
Doctor's on Wheels S.C. Past Accepting new patients
Countryside Medical SC Past Accepting new patients
St. Francis of Assisi Healthcare, Inc. Past Accepting new patients
Illinois Back and Joint PLLC Family Medicine PastSince Jan 19, 2023 Accepting new patients

Locations

713 E 142nd St
Dolton, IL 60419
Phone (708) 596-5177

15620 Wood St
Harvey, IL 60426
Phone (708) 333-3030

31 W 155th St
Harvey, IL 60426
Phone (708) 596-5177

7250 N Cicero Ave
Ste 101
Lincolnwood, IL 60712
Phone (847) 673-2877

19767 Torrence Ave
Lynwood, IL 60411
Phone (708) 596-5177

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1861707291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 W 155TH ST",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604263556",
            "telephone_number": "708-596-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 W 155TH ST",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604263556",
            "telephone_number": "708-596-5177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4425 S Archer Ave",
            "address_2": "Suite A1",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606322853",
            "country_code": "US",
            "telephone_number": "773-910-1046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSTER",
        "first_name": "JEROME",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-10",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036127192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, IL

Sources for this page

Verify at the official NPI Registry.