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

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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