Greyledge Orthobiologic Group LLC
Orthopaedic Surgery in Chicago, IL. Organization (NPI-2).
NPI number1619640331
StatusActive
Last updated in NPPESSep 6, 2023
Details
- NPI
- 1619640331
- Entity type
- Organization (NPI-2)
- Legal business name
- Greyledge Orthobiologic Group LLC
- Organization subpart
- No
- Enumeration date
- Jul 28, 2021
- Certification date
- Mar 1, 2023
- Last updated
- Sep 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | – | – | Yes |
| 208VP0000X | – | – | ||
| 207R00000X | Internal Medicine | – | – |
Other names
- Mitchell B. Sheinkop, M.D. (Doing Business As)
Practice location
618 W Fulton StChicago, IL 60661-1144
Phone 312-475-1893 · Fax 312-910-2460
Mailing address
618 W Fulton StChicago, IL 60661-1144
Phone 312-475-1893 · Fax 312-910-2460
Other practice locations
2200 Waukegan Rd
Glenview, IL 60025-1759
Glenview, IL 60025-1759
Phone 312-475-1893 · Fax 312-910-2460
Authorized official
Mitchell B. Sheinkop
President
3124751893
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