Provider Demographics
NPI:1063277143
Name:MONIQUE PLACZEK SPEECH THERAPY LLC
Entity type:Organization
Organization Name:MONIQUE PLACZEK SPEECH THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:MONIQUE
Authorized Official - Middle Name:ALYSSA
Authorized Official - Last Name:PLACZEK
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:630-740-2759
Mailing Address - Street 1:950 W HURON ST UNIT 208
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60642-6678
Mailing Address - Country:US
Mailing Address - Phone:630-740-2759
Mailing Address - Fax:
Practice Address - Street 1:950 W HURON ST UNIT 208
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60642-6678
Practice Address - Country:US
Practice Address - Phone:630-740-2759
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-16
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty