# GREYLEDGE ORTHOBIOLOGIC GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mitchell B. Sheinkop, M.D.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619640331
- **Authorized official:** MITCHELL B. SHEINKOP MD (PRESIDENT)
- **Authorized official phone:** (312) 475-1893

## Contact information

- **Practice address:** 618 W FULTON ST, CHICAGO, IL 60661-1144
- **Practice address phone:** (312) 475-1893
- **Practice address fax:** (312) 910-2460
- **Mailing address:** 618 W FULTON ST, CHICAGO, IL 60661-1144
- **Mailing address phone:** (312) 475-1893
- **Mailing address fax:** (312) 910-2460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 07/28/2021
- **Last updated:** 09/06/2023