Individual provider · Type 1 NPI

Peter Charles Revenaugh, MD

Otolaryngology/Facial Plastic Surgery Physician · Chicago, IL

NPI number 1114198678 Active

Practice location

1611 W Harrison St Ste 550
Chicago, IL 60612

Call (312) 942-6100 Map

Other practice locations

  • Cleveland Clinic Foundation, Cleveland, OH 44195-0001 · (216) 444-2200

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician 207Y00000X036-136085 (IL)
Otolaryngology/Facial Plastic Surgery Physician Primary 207YX0905X036-136085 (IL)

Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

21 other providers at this address

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About NPI 1114198678

Peter Charles Revenaugh, MD's National Provider Identifier is 1114198678, issued on Mar 12, 2008. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in Chicago, IL. The record was last updated on Jan 30, 2019.