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NPI Code Detail

MEDICARE: MONIQUE ALYSSA PLACZEK M.S., CCC-SLP

MEDICARE:   MONIQUE ALYSSA PLACZEK  M.S., CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist146.013870IL

General Provider Information

NPI Number : 1376066035
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONIQUE ALYSSA PLACZEK M.S., CCC-SLP
Provider Business Mailing Address
First Line : 950 W HURON ST UNIT 208
Second Line :
City : CHICAGO
State : IL
Zip : 60642-6678
Country : US
Telephone Number : 630-740-2759
Fax Number :
Provider Business Practice Location Address
First Line : 522 W CHESTNUT ST STE GA
Second Line :
City : HINSDALE
State : IL
Zip : 60521-3174
Country : US
Telephone Number : 331-271-5070
Fax Number : 331-271-5071
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2017
Last Update Date : 05/09/2022

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Directions to “ MONIQUE ALYSSA PLACZEK M.S., CCC-SLP” Practice Location

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