Individual provider · Type 1 NPI
Zaneta Rafferty, APN
Pediatric Nurse Practitioner · Chicago, IL
NPI number
1508749615
Active
Practice location
5841 S Maryland Ave
Chicago, IL 60637-1443
Mailing address
230 E Washington St
Villa Park, IL 60181-3013
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 041435308 (IL) |
| Pediatric Registered Nurse | 163WP0200X | 041.435308 (IL) |
| Registered Nurse | 163W00000X | 041.435308 (IL) |
| Pediatric Registered Nurse | 163WP0200X | 041435308 (IL) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 209033179 (IL) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1508749615
Zaneta Rafferty, APN's National Provider Identifier is 1508749615, issued on Jul 28, 2025. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Chicago, IL. The record was last updated on May 13, 2026.