Individual
KAITLYN RAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-8387
Mailing address
1233 SAINT CHARLES DR, LOCKPORT, IL 60441-3394
(708) 601-2002
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209033033
IL
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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