Rafferty, Shane

Rafferty, Shane is an individual health care provider with primary practice located at 4852 N Rockwell St Apt 2 , Chicago IL 60625-6521. He recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as his primary health care specialty. Rafferty, Shane can be contacted via phone (847) 219-1824.

Contact Information

Primary practice address
4852 N Rockwell St Apt 2 Chicago IL 60625-6521
Phone: (847) 219-1824
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 21312 Illinois

Profile Details

NPI number 1720625601
LBN Legal business name Rafferty, Shane
Credentials MS, CCLS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2019
Last updated Jun 3rd, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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