MEDICARE: MICHELLE CHEN SINEFF 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	208000000X	Pediatrics Physician	036107072	IL
2	208000000X	Pediatrics Physician	2002021122	MO

General Provider Information

NPI Number	:	1316939838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE CHEN SINEFF MD

Provider Business Mailing Address
First Line	:	1465 S GRAND BLVD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63104-1003
Country	:	US
Telephone Number	:	314-268-4070
Fax Number	:	314-268-4021

Provider Business Practice Location Address
First Line	:	1465 S GRAND BLVD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63104-1003
Country	:	US
Telephone Number	:	314-268-4070
Fax Number	:	314-268-4021

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

Provider Enumeration Date	:	08/19/2005
Last Update Date	:	01/15/2021

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Directions to “ MICHELLE CHEN SINEFF MD” Practice Location

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