Provider Demographics
NPI:1376066035
Name:PLACZEK, MONIQUE ALYSSA (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MONIQUE
Middle Name:ALYSSA
Last Name:PLACZEK
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:MONIQUE
Other - Middle Name:ALYSSA
Other - Last Name:BRONOWICKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
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 1:522 W CHESTNUT ST STE GA
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-3174
Practice Address - Country:US
Practice Address - Phone:331-271-5070
Practice Address - Fax:331-271-5071
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-24
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.013870235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist