Individual
HARVEY JOSEPH LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24 JOLIET ST, STE101, DYER, IN 46311-1705
(219) 864-2059
(219) 864-2644
Mailing address
PO BOX 1000, DYER, IN 46311-0800
(219) 864-2107
(219) 864-2649
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01022405
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0090000854
BCBS GROUP NUMBER
IL
05
—
100157400
—
IN
Enumeration date
08/22/2005
Last updated
07/20/2011
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