Peter Charles Revenaugh in Chicago - Otolaryngology
Peter Charles Revenaugh - NPI 1114198678
Peter Charles Revenaugh is a Otolaryngology in Chicago, Illinois. Peter Charles Revenaugh practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Peter Charles Revenaugh is 1114198678. The last update date is 2019-01-30.
Peter Charles Revenaugh's current location address is 1611 W Harrison St Ste 550, Chicago, Illinois. You can contact this provider via phone number 3129426100. The mailing address for Peter Charles Revenaugh is 1611 W Harrison St Ste 550, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter Charles Revenaugh |
|---|---|
| Address | 1611 W Harrison St Ste 550, Chicago, Illinois |
| Phone Number | 3129426100 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1114198678 |
|---|---|
| Provider Enumeration Date | 2008-03-12 |
| Last Updated Date | 2019-01-30 |
Provider Mailing Address Detail
| Address | 1611 W Harrison St Ste 550 |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606124861 |
| Phone Number | 3129426100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | 036-136085 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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What is the unique 10-digit identification code issued to Peter Charles Revenaugh by the Centers for Medicare & Medicaid Services?
The Peter Charles Revenaugh has been assigned the NPI (National Provider Identifier) 1114198678 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Peter Charles Revenaugh's facilities are situated?
The facilities of Peter Charles Revenaugh are physically located at the following address: 1611 W Harrison St Ste 550, Chicago, IL, 606124861.
What is the Peter Charles Revenaugh's area of specialization and corresponding taxonomy classification?
The Peter Charles Revenaugh's specialty field is Otolaryngology, and it falls under the taxonomy code 207Y00000X, which categorizes healthcare providers based on their specialties.
On what date did Peter Charles Revenaugh receive its 1114198678 assignment from the Centers for Medicare & Medicaid Services?
The Peter Charles Revenaugh was assigned its 1114198678 on 2008-03-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Peter Charles Revenaugh's information last updated?
The Peter Charles Revenaugh's information was last updated on 2019-01-30.
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