MEDICARE: DR. MOREY A BLINDER MD

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	207ZB0001X	Blood Banking & Transfusion Medicine Physician	R7N05	MO
2	207RH0000X	Hematology (Internal Medicine) Physician	R7N05	MO

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	:	1215953526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOREY A BLINDER MD

Provider Business Mailing Address
First Line	:	PO BOX 7412011
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60674-2011
Country	:	US
Telephone Number	:	314-362-7216
Fax Number	:	314-696-1391

Provider Business Practice Location Address
First Line	:	4500 FOREST PARK AVE
Second Line	:	DIV IM HEMATOLOGY, 5TH FL
City	:	SAINT LOUIS
State	:	MO
Zip	:	63108-2114
Country	:	US
Telephone Number	:	314-362-7216
Fax Number	:	314-696-1391

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	04/15/2025

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Directions to “ DR. MOREY A BLINDER MD” Practice Location

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