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Individual

MADALYN RIVERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1642 E BARBERRY LN, MT PROSPECT, IL 60056-1512
(773) 691-2990
Mailing address
6158 W HENDERSON ST, CHICAGO, IL 60634-4180

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
11/19/2021
Last updated
11/19/2021
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