MEDICARE: HARVEY EMERGENCY PHYSICIANS, PLLC

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	207P00000X	Emergency Medicine Physician

General Provider Information

NPI Number	:	1184281651
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARVEY EMERGENCY PHYSICIANS, PLLC

Provider Business Mailing Address
First Line	:	PO BOX 80309
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19101-1309
Country	:	US
Telephone Number	:	954-939-5000
Fax Number	:	866-250-6889

Provider Business Practice Location Address
First Line	:	1600 TORRENCE AVE
Second Line	:
City	:	CALUMET CITY
State	:	IL
Zip	:	60409-5430
Country	:	US
Telephone Number	:	954-939-5000
Fax Number	:	866-250-6889

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	CHRISTOPHER KENNEDY
Credential	:
Telephone Number	:	207-807-9009

Provider Enumeration Date	:	05/21/2019
Last Update Date	:	08/06/2025

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