Active NPI
Jessen Dean Schiebout, MD
- Emergency Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036130861
- Practice address
- 1653 W Congress Pkwy
Chicago, IL 60612-3833 - Phone
- (312) 947-0100
- NPI assigned
- Apr 22, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 036.130861 | IL | |
| Emergency Medicine Physician | 207P00000X | 036130861 | IL | Primary |
| Emergency Medicine Physician | 207P00000X | 35.098086 | OH |
Addresses
Primary practice location
1653 W Congress Pkwy
Chicago, IL 60612-3833
Mailing address
765 W Adams St Apt 1813
Chicago, IL 60661-3522
Phone (847) 361-4492
Other practice location 1
600 N College Ave
Geneseo, IL 61254-1099
Phone (309) 944-5650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0056594 | Medicaid | OH |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.098086 | OH | MD | Emergency Medicine Physician |
| 036.130861 | IL | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morrison Community Hospital District | Current | Accepting new patients | |
| Rush University Medical Center | Current | Accepting new patients | |
| Hammond Henry Dist Hospital | Current | Accepting new patients | |
| Rush University Medical Group | Emergency Medicine | Current | Accepting new patients |
| Freeport Memorial Hospital | Current | Accepting new patients | |
| Hammond Henry Dist Hospital | Current | Accepting new patients | |
| Rush University Medical Center | Current | Accepting new patients | |
| Emergency Medicine Physicians of Kankakee County, LLC | Emergency Medicine | Past | Accepting new patients |
Locations
75 Remittance Dr
Dept 1611
Chicago, IL 60675
1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138
1700 W Van Buren St
Ste 161
Chicago, IL 60612
Phone (312) 563-4134
1653 W Congress Pkwy
#177
Chicago, IL 60612
Phone (312) 947-0229
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
1045 W Stephenson St
Freeport, IL 61032
Phone (815) 599-6105
600 N College Ave
Geneseo, IL 61254
Phone (309) 944-6431
333 Madison St
Joliet, IL 60435
Phone (815) 725-7222
500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119
303 N Jackson St
Morrison, IL 61270
Phone (815) 772-4003
20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857
1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160
Interoperability endpoints
- jschiebout83097@direct.rush.rush-health.com
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Freeport, IL
- NPI 1447228788
-
- Critical Access Hospital
- Geneseo, IL
- NPI 1457344491
-
- Critical Access Hospital
- Morrison, IL
- NPI 1184844938
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
Emergency Medicine
-
- Medicare Defined Swing Bed Hospital Unit
- Geneseo, IL
- NPI 1740397447
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1689165540
-
- Pediatrics Physician
- Chicago, IL
- NPI 1871560961
-
- Emergency Medicine Physician
- Kankakee, IL
- NPI 1689815318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771286400000",
"number": "1225272172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "765 W ADAMS ST APT 1813",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606613522",
"telephone_number": "847-361-4492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1653 W CONGRESS PKWY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123833",
"telephone_number": "312-947-0100"
}
],
"practiceLocations": [
{
"address_1": "600 N College Ave",
"address_purpose": "LOCATION",
"city": "Geneseo",
"state": "IL",
"postal_code": "612541099",
"country_code": "US",
"telephone_number": "309-944-5650",
"fax_number": "309-520-2572",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHIEBOUT",
"first_name": "JESSEN",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-22",
"last_updated": "2026-02-17",
"certification_date": "2026-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "IL",
"license": "036.130861",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036130861",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35.098086",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0056594",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.