Cerise Jessica Bush
Obstetrician
222 Colorado Ave
Frankfort
, Illinois 60423-1334
Cerise Jessica Bush
Obstetrician
222 Colorado Ave
Frankfort
, Illinois 60423-1334
(815) 469-6647
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About
Features
Specialties
- Obstetrician
Languages spoken
- English
Location
First Address
- Cerise Jessica Bush
- 222 Colorado Ave
- Frankfort, IL
- Zip : 60423-1334
- Fax : (815) 469-6647
- Phone : (815) 469-6646
Second Address
- Cerise Jessica Bush
- 222 Colorado Ave
- Frankfort, IL
- Zip : 60423-1334
- Fax : (815) 469-6647
- Phone : (815) 469-6646
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VX0000X | Obstetrician | 036122472 | IL |
National Provider Identifier
| NPI | 1053567099 |
|---|---|
| Provider Name | Cerise Jessica Bush |
| First Address | Frankfort, IL 60423-1334 |
| Second Address | Frankfort, IL 60423-1334 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/08/2008 |
| Last Update Date | 09/12/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.