SHANE RAFFERTY

CHICAGO, IL
NPI1720625601
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2080P0006X Pediatrics, Developmental - Behavioral Pediatrics
(Licence: IL  21312)
Enumeration Date2019-12-10
Last Update Date2020-06-03
Business Address
SHANE RAFFERTY MS, CCLS
4852 N ROCKWELL ST APT 2
CHICAGO, IL 60625-6521
Phone number: 847-219-1824
Mailing Address
SHANE RAFFERTY MS, CCLS
4852 N ROCKWELL ST APT 2
CHICAGO, IL 60625-6521
Phone number: 847-219-1824
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