Madelyn Vavra, OT
Occupational Therapist in Rockford, IL. Individual provider (NPI-1).
NPI number1093679342
StatusActive
Last updated in NPPESApr 30, 2026
Details
- NPI
- 1093679342
- Entity type
- Individual (NPI-1)
- Name
- Madelyn Vavra
- Credential
- OT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 11, 2025
- Certification date
- Apr 30, 2026
- Last updated
- Apr 30, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 056.016938 | IL | Yes |
| 225X00000X | Occupational Therapist | 9049-26 | WI |
Practice location
5970 Churchview DrRockford, IL 61107-2574
Phone 815-971-2000 · Fax 815-971-9267
Mailing address
29624 Network PlChicago, IL 60673-1296
Phone 815-971-7000 · Fax 815-968-4795
Other practice locations
8201 E Riverside Blvd
Rockford, IL 61114-2300
Rockford, IL 61114-2300
Phone 815-971-7000 · Fax 815-968-4795
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