Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alysh Oetzel

Individual provider Speech-Language Pathologist · NPI 1316785116

Alysh Oetzel is a Qualified Speech Language Pathologist in Marion, Illinois. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Illinois.

Years since qualifying
5
Licensed in
IL
In the registry since
2024
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Practice location Address checks out

4505 W Deyoung St Ste 203C
Marion, IL 62959-5899
Phone: (618) 283-2222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 146.016624 (IL)

Record details

NPI number1316785116
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 16, 2024
Last updated in NPPESJuly 16, 2024
Certification dateJuly 16, 2024
Mailing address611 S Glenview Dr, Carbondale, IL 62901-2245

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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