MEDICARE: ALICJA ZIECINA 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
1	235Z00000X	Speech-Language Pathologist	146.015775	IL
2	235Z00000X	Speech-Language Pathologist	8035	CT
3	235Z00000X	Speech-Language Pathologist	30003704	NC

General Provider Information

NPI Number	:	1538859780
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICJA ZIECINA CCC-SLP

Provider Business Mailing Address
First Line	:	2860 S RIVER RD STE 140
Second Line	:
City	:	DES PLAINES
State	:	IL
Zip	:	60018-6086
Country	:	US
Telephone Number	:	847-999-3990
Fax Number	:

Provider Business Practice Location Address
First Line	:	2860 S RIVER RD STE 140
Second Line	:
City	:	DES PLAINES
State	:	IL
Zip	:	60018-6086
Country	:	US
Telephone Number	:	847-999-3990
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2023
Last Update Date	:	03/10/2025

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Directions to “ ALICJA ZIECINA CCC-SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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