Healthcare Provider Details

I. General information

NPI: 1598687089
Provider Name (Legal Business Name): ELIZABETH OLIGER MS, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1051 W SOUTH ST
KEWANEE IL
61443-8354
US

IV. Provider business mailing address

1051 W SOUTH ST
KEWANEE IL
61443-8354
US

V. Phone/Fax

Practice location:
  • Phone: 309-852-7931
  • Fax:
Mailing address:
  • Phone: 309-852-7931
  • Fax: 309-852-7948

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number242.018561
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: