Greyledge Orthobiologic Group LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

GREYLEDGE ORTHOBIOLOGIC GROUP LLC

Practice address

618 W Fulton St
Chicago, IL 60661-1144

Phone

(312) 475-1893

Fax

(312) 910-2460

NPI assigned

Jul 28, 2021

Organization subpart

No

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

Authorized official

Name

Mitchell B. Sheinkop, MD

Title

President

Phone

(312) 475-1893

Specialties & licenses 3

Addresses

Other names 1

• Mitchell B. Sheinkop, M.D. Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1619640331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 W FULTON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606611144",
            "telephone_number": "312-475-1893",
            "fax_number": "312-910-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 W FULTON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606611144",
            "telephone_number": "312-475-1893",
            "fax_number": "312-910-2460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Waukegan Rd",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600251759",
            "country_code": "US",
            "telephone_number": "312-475-1893",
            "fax_number": "312-910-2460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREYLEDGE ORTHOBIOLOGIC GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2023-09-06",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "SHEINKOP",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-475-1893",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mitchell B. Sheinkop, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shivraj Grewal, MD
• Shivroup K Grewal, PSYD
• Grey Area Therapy PLLC
• Francine Grey-Theriot
• Matthew Paul Greydanus
• Paige Anne Greytok, LMFT, LCPC, CADC
• Greywood Health Center LLC
• Galina Gribovich, MD
• Brian A Grice
• James Grider III, LPCC, CADCC

• Orthopaedic Surgery Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Orthopaedic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.