Shane Rafferty
MS, CCLS | Developmental - Behavioral Pediatrics | Male
Shane Rafferty, MS, CCLS is a Chicago, Illinois based Pediatric doctor with medical specialization in
Developmental - Behavioral Pediatrics.
Current practice location of Shane Rafferty is
4852 N Rockwell St Apt 2, Chicago, Illinois - 60625-6521. He can be contacted on phone at
847-219-1824.
Shane Rafferty is a sole proprietor of his business.
NPI number (Unique professional ID) for Shane Rafferty is
1720625601 which was assigned by NPPES on 10 Dec, 2019 and it was last updated on 03 Jun, 2020.
Shane Rafferty license number is
21312 for Pediatrics Developmental - Behavioral Pediatrics (2080P0006X) in Illinois.
Shane Rafferty is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Complete Profile:
Shane Rafferty basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Developmental - Behavioral Pediatrics |
|---|
| Provider Name : | Shane Rafferty |
|---|
| Credential : | MS, CCLS |
|---|
| Gender : | Male |
|---|
Business Address:
Shane Rafferty address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4852 N Rockwell St Apt 2
Chicago, IL, 60625-6521
United States |
|---|
| Phone Number : | 847-219-1824 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1720625601 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 10 Dec, 2019 |
|---|
| Last Updated On : | 03 Jun, 2020 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shane Rafferty are as mentioned. Primary taxonomy code for Shane Rafferty, MS, CCLS is
2080P0006X (Pediatrics Developmental - Behavioral Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0006X | Pediatrics Developmental - Behavioral Pediatrics | Yes | 21312 | IL |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 4852 N Rockwell St Apt 2
Chicago, IL, 60625-6521
United States |
|---|
| Phone Number : | 847-219-1824 |
|---|
Business Location:
Patients can refer following map for directions to
Shane Rafferty practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.