Provider Demographics
NPI:1699051482
Name:RAFKIND, CYNTHIA HARDING (ANP-BC)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:HARDING
Last Name:RAFKIND
Suffix:
Gender:F
Credentials:ANP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2971 W ALGONQUIN RD
Mailing Address - Street 2:STE 103
Mailing Address - City:ALGONQUIN
Mailing Address - State:IL
Mailing Address - Zip Code:60102-9407
Mailing Address - Country:US
Mailing Address - Phone:847-458-1879
Mailing Address - Fax:847-458-2079
Practice Address - Street 1:2971 W ALGONQUIN RD
Practice Address - Street 2:STE 103
Practice Address - City:ALGONQUIN
Practice Address - State:IL
Practice Address - Zip Code:60102-9407
Practice Address - Country:US
Practice Address - Phone:847-458-1879
Practice Address - Fax:847-458-2079
Is Sole Proprietor?:No
Enumeration Date:2011-10-25
Last Update Date:2019-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA755291163WG0000X
CA21032363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice