Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720625601 Individual Practitioner Male Practitioner

Shane Rafferty , MS, CCLS

Pediatrics - Developmental - Behavioral Pediatrics • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Shane Rafferty, MS, CCLS is a registered healthcare professional specializing in Pediatrics - Developmental - Behavioral Pediatrics in Chicago, IL. Practice services are available at 4852 N ROCKWELL ST APT 2 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4852 N Rockwell St Apt 2

Chicago, IL 606256521

Telephone 8472191824

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics - Developmental - Behavioral Pediatrics in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.0 Yrs
Regional Practice Density
18 Specialists

Practicing in Chicago, IL (43 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-06-03
Pediatrics - Developmental - Behavioral Pediatrics Primary Specialty

NUCC Taxonomy Code: 2080P0006X

State License IL 21312

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
👤
Provider Name / Credentials Updated June 03, 2020

Recorded as SHANE RAFFERTY, MS, CCLS

NPI Profile Active December 10, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location December 10, 2019

Registered at 4852 N ROCKWELL ST APT 2, CHICAGO, IL 606256521 (Tel: 8472191824)

📍
Updated Business Mailing Address December 10, 2019

Registered at 4852 N ROCKWELL ST APT 2, CHICAGO, IL 606256521 (Tel: 8472191824)

👤
Provider Name / Credentials Updated December 10, 2019

Recorded as SHNAE RAFFERTY, MS, CCLS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 10, 2019

Pediatrics (License #21312 in IL)

🟢
Initial NPI Registration & Enumeration December 10, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720625601
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 10, 2019
Last Update: June 03, 2020
Sole Proprietor: No

Mailing Address

4852 N Rockwell St Apt 2

Chicago, IL 606256521

Phone: 8472191824

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.