Image

Dr. Peter Charles Revenaugh

Otolaryngologist (ENT Doctor) Otolaryngology/Facial Plastic Surgery

1611 W Harrison St Ste 550
Chicago , Illinois 60612

Write a Review Save Call QR Code
Image

Dr. Peter Charles Revenaugh

Otolaryngologist (ENT Doctor) Otolaryngology/Facial Plastic Surgery

1611 W Harrison St Ste 550
Chicago , Illinois 60612

(312) 942-6100

Write a Review Save Call

Dr. Peter Charles Revenaugh

Otolaryngologist (ENT Doctor) Otolaryngology/Facial Plastic Surgery

1611 W Harrison St Ste 550
Chicago , Illinois 60612

(312) 942-6100 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Otolaryngologist (ENT Doctor)
  • Otolaryngology/Facial Plastic Surgery

Languages spoken

  • English

Location

1611 W Harrison St Ste 550 Chicago , Illinois 60612

First Address

  • Dr. Peter Charles Revenaugh
  • 1611 W Harrison St Ste 550
  • Chicago, IL
  • Zip : 60612-4861
  • Phone : (312) 942-6100

Second Address

  • Dr. Peter Charles Revenaugh
  • 1611 W Harrison St Ste 550
  • Chicago, IL
  • Zip : 60612
  • Phone : (312) 942-6100

Reviews

Start your review of Dr. Peter Charles Revenaugh

FAQs


Where did Dr. Peter Charles Revenaugh attend graduate school?

Provider has not completed his profile. If you are Dr. Peter Charles Revenaugh, click here to claim your profile

Where did Dr. Peter Charles Revenaugh do his residency?

Provider has not completed his profile. If you are Dr. Peter Charles Revenaugh, click here to claim your profile

Where did Dr. Peter Charles Revenaugh do his fellowship?

Provider has not completed his profile. If you are Dr. Peter Charles Revenaugh, click here to claim your profile

Is Dr. Peter Charles Revenaugh board certified?

Provider has not completed his profile. If you are Dr. Peter Charles Revenaugh, click here to claim your profile

What type of doctor is Dr. Peter Charles Revenaugh

Otolaryngology/Facial Plastic Surgery

In what state does Dr. Peter Charles Revenaugh practice in?

Illinois

Where is Dr. Peter Charles Revenaugh ’s practice located?

1611 W Harrison St Ste 550 , Chicago, Illinois, 60612

What is Dr. Peter Charles Revenaugh ’s gender?

Male

Is Dr. Peter Charles Revenaugh a sole practitioner?

No

Is Dr. Peter Charles Revenaugh accepting new patients?

Provider has not completed his profile. If you are Dr. Peter Charles Revenaugh, click here to claim your profile

What languages does Dr. Peter Charles Revenaugh speak?

Provider has not completed his profile. If you are Dr. Peter Charles Revenaugh, click here to claim your profile

Does Dr. Peter Charles Revenaugh accept insurance?

Yes, Dr. Peter Charles Revenaugh accepts insurance

Does Dr. Peter Charles Revenaugh offers telemedicine?

Dr. Peter Charles Revenaugh has not indicated if he offers telemedicine

What is Dr. Peter Charles Revenaugh ’s professional license number?

Provider has not completed his profile. If you are Dr. Peter Charles Revenaugh, click here to claim your profile

What is Dr. Peter Charles Revenaugh ’s NPI number?

1114198678

Does Dr. Peter Charles Revenaugh have any license restrictions?

Provider has not completed his profile. If you are Dr. Peter Charles Revenaugh, click here to claim your profile

Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207Y00000X Otolaryngologist (ENT Doctor) 036-136085 IL
Y 207YX0905X Otolaryngology/Facial Plastic Surgery 036-136085 IL

National Provider Identifier

NPI 1114198678
Provider Name Dr. Peter Charles Revenaugh
First Address Chicago, IL 60612-4861
Second Address Chicago, IL 60612
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 12/03/2008
Last Update Date 30/01/2019

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

Claim this business page.

This profile has not yet been claimed by the owner or a representative.

Search

Hello GPT