Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PETER CHARLES REVENAUGH, M.D.
ActiveDR. PETER CHARLES REVENAUGH, M.D. is a Facial Plastic Surgery healthcare provider located in CHICAGO, Illinois. NPI 1114198678 is currently active in the NPPES registry. Verify at CMS.
Facial Plastic Surgery · CHICAGO, IL
Registration Details
- NPI Number
- 1114198678
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 12, 2008 (18.435164085951 yrs)
- Last Updated
- Jan 30, 2019
- Licenses
-
036-136085 (IL)036-136085 (IL)
Practice Information
- Address
-
1611 W HARRISON ST STE 550CHICAGO, IL, 60612Browse IL providers · Browse ZIP 60612
- Phone
- 3129426100
- Primary Specialty
-
Facial Plastic Surgery
207YX0905X
- Additional Specialty
- Facial Plastic Surgery
Other Facial Plastic Surgery Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| DR. STEPHEN PHILIP BECKER | M.D | 1831184001 |
| DR. ARI B RUBENFELD | M.D. | 1255329470 |
| DR. JAMES B LUCAS II | M.D. | 1801857545 |
| DR. GARY G WIESMAN | MD | 1821191404 |
| DR. RYAN MICHEAL SMITH | M.D. | 1235491697 |
| MICHAEL EGGERSTEDT | MD | 1699129858 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.