Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Peter Charles Revenaugh, MD

Individual provider Otolaryngology Physician · NPI 1114198678

Dr. Peter Charles Revenaugh, MD is an Otolaryngology in Chicago, Illinois. Graduated from State University of New York at Buffalo School of Medicine in 2007, 19 years ago. Practices with Rush University Medical Group, a 1,499-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
19
Trained at
State University of New York at Buffalo School of Medicine
Licensed in
IL
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1611 W Harrison St Ste 550
Chicago, IL 60612
Phone: (312) 942-6100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Otolaryngology/Facial Plastic Surgery Physician (primary) Taxonomy 207YX0905X · Licence 036-136085 (IL)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 036-136085 (IL)

Record details

NPI number1114198678
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 12, 2008
Last updated in NPPESJanuary 30, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Also practisesPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Rush University Medical Group — 1499 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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