Raftery, Desmond Paul

Raftery, Desmond Paul is an sole proprietor health care provider with primary practice located at 787 Penrith Ave , Elk Grove Village IL 60007-3612. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Raftery, Desmond Paul can be contacted via phone (630) 415-3638.

Contact Information

Primary practice address
787 Penrith Ave Elk Grove Village IL 60007-3612
Phone: (630) 415-3638
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 149.008719 Illinois

Profile Details

NPI number 1922100825
LBN Legal business name Raftery, Desmond Paul
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922100825 NPPES
Illinois Other 1626558 BLUE CROSS BLUE SHIELD

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