Provider Demographics
NPI:1629341714
Name:RAFTIS, HELEN (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:
Last Name:RAFTIS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7519 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:IL
Mailing Address - Zip Code:60561-6710
Mailing Address - Country:US
Mailing Address - Phone:630-910-4042
Mailing Address - Fax:
Practice Address - Street 1:7516 S CASS AVE
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:IL
Practice Address - Zip Code:60561-4496
Practice Address - Country:US
Practice Address - Phone:630-964-4242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-20
Last Update Date:2012-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051287327183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist