DR. Peter Charles Revenaugh, M.D. is an otolaryngology/facial plastic surgery otolaryngology in Chicago, IL with 17 years of experience. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. DR. Peter Charles Revenaugh, M.D. NPI is 1114198678. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduation Year:2007
The provider's business location address is:
1611 W HARRISON ST STE 550
CHICAGO, IL
ZIP 60612
Phone: (312) 942-6100
The NPI 1114198678 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/12/2008 and was last updated on 1/30/2019.