Individual provider Active NPI

Jessen Dean Schiebout, MD

  • Emergency Medicine Physician
  • Chicago, IL
National Provider Identifier
1225272172
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036130861 Issued in IL
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

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0056594MedicaidOH

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
I20121018000566 IL Practitioner - Emergency Medicine 2466617972 Reassigns benefits to 5 organizations

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.098086OHMDEmergency Medicine Physician
036.130861ILMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morrison Community Hospital District Current Accepting new patients
Rush University Medical Center Current Accepting new patients
Hammond Henry Dist Hospital CurrentSince Jan 1, 2026 Accepting new patients
Rush University Medical Group Emergency Medicine CurrentSince Nov 1, 2020 Accepting new patients
Freeport Memorial Hospital CurrentSince Jul 11, 2013 Accepting new patients
Hammond Henry Dist Hospital CurrentSince Jan 1, 2026 Accepting new patients
Rush University Medical Center CurrentSince Nov 1, 2020 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.