IndividualActive
Peter Revenaugh, M.D.
NPI 1114198678 · Otolaryngology/Facial Plastic Surgery Physician · Chicago, IL
Provider details
- NPI number
- 1114198678
- Entity type
- Individual
- Primary specialty
- Otolaryngology/Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036-136085 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1611 W Harrison St Ste 550
Chicago, IL 60612
Phone: (312) 942-6100
Approximate (ZIP-level) locationGet directions
Mailing address
1611 W Harrison St Ste 550
Chicago, IL 60612-4861
Additional practice locations (1)
- Cleveland Clinic FoundationCleveland, OH 44195-0001Phone: (216) 444-2200
Registry dates
- Enumerated
- 2008-03-12
- Last updated
- 2019-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.