Shane Rafferty, MS, CCLS
NPI 1720625601 · Developmental - Behavioral Pediatrics Physician · Chicago, IL
Shane Rafferty, MS, CCLS is a Developmental - Behavioral Pediatrics Physician provider in Chicago, IL (NPI 1720625601).
Provider details
- NPI number
- 1720625601
- Entity type
- Individual
- Primary specialty
- Developmental - Behavioral Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MS, CCLS
- Sex
- Male
- Sole proprietor
- No
- License
- 21312 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-12-10
- Last updated
- 2020-06-03
- Certified
- 2020-06-03
Frequently asked questions
- What is Shane Rafferty's NPI number?
- Shane Rafferty's National Provider Identifier (NPI) is 1720625601, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shane Rafferty's specialty?
- Shane Rafferty is listed in the NPPES registry with a primary specialty of Developmental - Behavioral Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Shane Rafferty located?
- Shane Rafferty's practice location on file with NPPES is 4852 N Rockwell St Apt 2, Chicago, IL 60625-6521.
- What is Shane Rafferty's phone number?
- The practice phone number listed in the NPPES registry for Shane Rafferty is (847) 219-1824.
- Is Shane Rafferty's NPI active?
- Yes — Shane Rafferty's NPI (1720625601) is active in the NPPES registry as of the last update on 2020-06-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.