Individual
MADELYN VAVRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5970 CHURCHVIEW DR, ROCKFORD, IL 61107-2574
(815) 971-2000
(815) 971-9267
Mailing address
29624 NETWORK PL, CHICAGO, IL 60673-1296
(815) 971-7000
(815) 968-4795
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.016938
IL
225X00000X
Occupational Therapist
9049-26
WI
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/11/2025
Last updated
04/30/2026
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