MEDICARE: SHELDON S. GREENBERG, M.D., S.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0802X	Addiction Psychiatry Physician	036042726	IL
2	2084P0800X	Psychiatry Physician	036042726	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134243942
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHELDON S. GREENBERG, M.D., S.C.

Provider Business Mailing Address
First Line	:	2835 NORTH SHEFFIELD AVE.
Second Line	:	SUITE 200
City	:	CHICAGO
State	:	IL
Zip	:	60657-5083
Country	:	US
Telephone Number	:	773-561-3365
Fax Number	:	773-880-2409

Provider Business Practice Location Address
First Line	:	2835 NORTH SHEFFIELD AVE.
Second Line	:	SUITE 200
City	:	CHICAGO
State	:	IL
Zip	:	60657-5083
Country	:	US
Telephone Number	:	773-561-3365
Fax Number	:	773-880-2409

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SHELDON STUART GREENBERG
Credential	:	M.D.
Telephone Number	:	773-561-3365

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	11/01/2011

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