Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114208238 Individual Practitioner Female Practitioner

Alicia Marie Wall , CCC-SLP

Speech-Language Pathologist • Mokena, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Alicia Wall, CCC-SLP is a certified Speech-Language Pathologist practicing in Mokena, IL. With approximately 15 years of clinical experience since completing medical education in 2011, Alicia Wall delivers high-quality medical care to the local community at 19309 BEAVER CREEK LN.

Alicia Wall is affiliated with Legacy Healthcare Services Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

19309 Beaver Creek Ln

Mokena, IL 604488251

Telephone 7086502106
Associated Practice Facility / Clinic
🏢 Credo Therapy Pllc Facility NPI 1023888237

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Mokena, IL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
15 Yrs +8.0 yrs vs City Avg
City Avg: 7.0 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
44 Specialists

Practicing in Mokena, IL (10321 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wall (15 Years) 15 Yrs
Mokena Specialty Average (7.0 Years) 7.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-09-28
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Hospital & Practice Group Affiliations

Legacy Healthcare Services Inc

16 W301, Burr Ridge, IL 605276368

Phone: 6305685479

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location September 28, 2024

Registered at 19309 BEAVER CREEK LN, MOKENA, IL 604488251 (Tel: 7086502106)

📍
Updated Business Mailing Address September 28, 2024

Registered at 19309 BEAVER CREEK LN, MOKENA, IL 604488251

📍
Updated Practice Location January 08, 2024

Registered at 10334 S 84TH AVE, PALOS HILLS, IL 604651702 (Tel: 7086502106)

📍
Updated Business Mailing Address January 08, 2024

Registered at 10334 S 84TH AVE, PALOS HILLS, IL 604651702

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2024

Speech-Language Pathologist

📍
Updated Practice Location October 14, 2021

Registered at 11360 DOUBLE BRIDLE TER, SAN DIEGO, CA 921306951 (Tel: 7086502106)

📍
Updated Business Mailing Address October 14, 2021

Registered at 11360 DOUBLE BRIDLE TER, SAN DIEGO, CA 921306951

👤
Provider Name / Credentials Updated October 14, 2021

Recorded as ALICIA WALL, CCC-SLP

NPI Profile Active September 01, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location September 01, 2011

Registered at 2781 OSBORN DR, LAKE HAVASU CITY, AZ 864068629 (Tel: 9285055552)

📍
Updated Business Mailing Address September 01, 2011

Registered at 2212 KIOWA BLVD N, UNIT 206, LAKE HAVASU CITY, AZ 864032543

👤
Provider Name / Credentials Updated September 01, 2011

Recorded as ALICIA CIKOWSKI, SLP-CFY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2011

Speech-Language Pathologist (License #TSLP7300 in AZ)

🟢
Initial NPI Registration & Enumeration September 01, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114208238
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 01, 2011
Last Update: September 28, 2024
Sole Proprietor: No

Mailing Address

19309 Beaver Creek Ln

Mokena, IL 604488251

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.