Individual provider Active NPI

John Gregory Bush, DO

  • Obstetrics & Gynecology Physician
  • Frankfort, IL
National Provider Identifier
1952332165
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036054141 Issued in IL
Practice address
222 Colorado Ave
Frankfort, IL 60423-1334
Phone
(815) 469-6646
Fax
(815) 469-6647
NPI assigned
Jul 5, 2006
Last updated
Dec 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036-054141 IL
Obstetrics & Gynecology Physician 207V00000X 036054141 IL Primary

Addresses

Primary practice location

222 Colorado Ave
Frankfort, IL 60423-1334

Mailing address

222 Colorado Ave
Frankfort, IL 60423-1334
Phone (815) 469-6646

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
I20091210000052 IL Practitioner - Obstetrics/Gynecology 4587703277 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Chicago College of Osteopathy, 1975
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
John G Bush DO LTDGroup PAC ID 0840339537, 3 clinicians

Practice addresses (Care Compare)

1000 Ctr St
Suite 700
Evanston, IL 60020-1769
Phone (874) 896-3300

222 Colorado Ave
Frankfort, IL 60423-1334
Phone (815) 469-6646

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-054141ILMDObstetrics & Gynecology Physician
036054141ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Center for Women's Health Care, LTD. Obstetrics & Gynecology CurrentSince Nov 5, 2025 Accepting new patients
John G. Bush, DO LTD Obstetrics & Gynecology CurrentSince Jan 1, 1987 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

222 Colorado Ave
Frankfort, IL 60423
Phone (815) 469-2123

1890 Silver Cross Blvd
Ste 420
New Lenox, IL 60451
Phone (815) 320-3520

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

Organizations & group practices 3

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 6

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1952332165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 COLORADO AVE",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231334",
            "telephone_number": "815-469-6646",
            "fax_number": "815-469-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 COLORADO AVE",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231334",
            "telephone_number": "815-469-6646",
            "fax_number": "815-469-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "JOHN",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036-054141",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036054141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

Verify at the official NPI Registry.