Ella Marie Oliver

Individual provider Active NPI Speech-Language Pathologist · Flanagan, IL

NPI 1902606759 · NPPES record last updated Aug 18, 2025

Key facts

NPI
1902606759
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
242007744 (IL)
Practice address
205 N Adams St
Flanagan, IL 61740-9036
Phone
(815) 844-7115
NPI assigned
Mar 19, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
242007744ILMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 242007744 IL Yes

Addresses

Primary practice location

205 N Adams St
Flanagan, IL 61740-9036

Mailing address

205 N Adams St
Flanagan, IL 61740-9036

Other practice location 1

2103 N Veterans Pkwy
Bloomington, IL 61704-0908
Phone (309) 948-6469

Other providers in Flanagan, IL

All providers in Flanagan, IL · Speech-Language Pathologist in Illinois

Sources for this page

Verify at the official NPI Registry.