SHANE RAFFERTY MS, CCLS
NPI 1720625601
Pediatrics - Developmental - Behavioral Pediatrics in Chicago, IL

Active since December 10, 2019
4852 N ROCKWELL ST APT 2, CHICAGO, IL 60625(847) 219-1824 Get Directions Write a Review

NPPES record last updated: June 3, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 3, 2020, Dec 10, 2019 (2 updates tracked since 2019).

  • Individual
  • Male
  • Pediatrics
  • Developmental - Behavioral Pediatrics

About SHANE RAFFERTY

This page provides the complete NPI Profile along with additional information for Shane Rafferty, a pediatrician established in Chicago, Illinois with a medical specialization in Pediatrics, focusing in developmental - behavioral pediatrics . The healthcare provider is registered in the NPI registry with number 1720625601 assigned on December 2019. The practitioner's primary taxonomy code is 2080P0006X with license number 21312 (IL). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1720625601 Verify this NPI
Provider Name
SHANE RAFFERTY MS, CCLS
Gender
Male
Entity Type
Individual
Location Address
4852 N ROCKWELL ST APT 2 CHICAGO, IL 60625
Location Phone
(847) 219-1824
Mailing Address
4852 N ROCKWELL ST APT 2 CHICAGO, IL 60625
Mailing Phone
(847) 219-1824
Is Sole Proprietor?
No
Enumeration Date
12-10-2019
Last Update Date
06-03-2020
Code Navigator

A pediatrician like Shane Rafferty is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Developmental - Behavioral Pediatrics

Taxonomy Code
2080P0006X
Type
Allopathic & Osteopathic Physicians
License No.
21312
License State
IL
Taxonomy Description
A developmental-behavioral specialist 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.

Reviews for SHANE RAFFERTY MS, CCLS

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720625601, enumerated as an "individual" on December 10, 2019.

The provider is located at 4852 N ROCKWELL ST APT 2 CHICAGO, IL 60625 and the phone number is (847) 219-1824.

Pediatrics with taxonomy code 2080P0006X and a focus in Developmental - Behavioral Pediatrics.