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

Olivia Marie Clark

Individual provider Speech-Language Pathologist · NPI 1023853108

Olivia Marie Clark is a Qualified Speech Language Pathologist in Vernon Hills, Illinois. Qualified in 2022, 4 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group and accepts Medicare assignment. Licensed in California, Colorado and Illinois.

Years since qualifying
4
Licensed in
CA, CO, IL
In the registry since
2024
Specialties on file
3
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Practice location Address checks out

1111 N Milwaukee Ave Unit 323
Vernon Hills, IL 60061-1681
Phone: (714) 309-2019
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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 146.028763 (IL)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 0005771 (CO)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 35244 (CA)

Record details

NPI number1023853108
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 28, 2024
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025
Mailing address1111 N Milwaukee Ave Unit 323, Vernon Hills, IL 60061-1681

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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