Kathleen Raftery
Nurse Practitioner - Neonatal
1653 W Congress Pkwy
Chicago
, Illinois 60612-3833
Kathleen Raftery
Nurse Practitioner - Neonatal
1653 W Congress Pkwy
Chicago
, Illinois 60612-3833
(419) 376-7682
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About
Features
Specialties
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Kathleen Raftery
- 6013 Saddlewood Dr
- Toledo, OH
- Zip : 43613-1300
- Phone : (419) 376-7682
Second Address
- Kathleen Raftery
- 1653 W Congress Pkwy
- Chicago, IL
- Zip : 60612-3833
- Phone : (312) 942-5000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0000X | Nurse Practitioner - Neonatal | 209.020052 | IL |
National Provider Identifier
| NPI | 1083261291 |
|---|---|
| Provider Name | Kathleen Raftery |
| First Address | Toledo, OH 43613-1300 |
| Second Address | Chicago, IL 60612-3833 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/08/2019 |
| Last Update Date | 18/10/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.