Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE RAFFERTY, MS, CCLS
ActiveSHANE RAFFERTY, MS, CCLS is a Developmental-Behavioral Pediatrics healthcare provider located in CHICAGO, Illinois. NPI 1720625601 is currently active in the NPPES registry. Verify at CMS.
Developmental-Behavioral Pediatrics · CHICAGO, IL
Registration Details
- NPI Number
- 1720625601
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 10, 2019 (6.6923634059854 yrs)
- Last Updated
- Jun 3, 2020
- License
-
21312 (IL)
Practice Information
- Address
-
4852 N ROCKWELL ST APT 2CHICAGO, IL, 606256521Browse IL providers · Browse ZIP 60625
- Phone
- 8472191824
- Primary Specialty
-
Developmental-Behavioral Pediatrics
2080P0006X
Other Developmental-Behavioral Pediatrics Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| DANA BRAZDZIUNAS | MD | 1790759009 |
| ALEXANDRIA D SAULSBERRY | MD | 1699869313 |
| PETER SMITH | — | 1720142995 |
| LAWRENCE A GRAY | MD | 1659421691 |
| MICHAEL MSALL | — | 1316097355 |
| KARIN E VANDER PLOEG BOOTH | — | 1194990705 |
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.