Provider Demographics
NPI:1568000453
Name:MASLOWIEC, ALEKSANDRA G
Entity Type:Individual
Prefix:
First Name:ALEKSANDRA
Middle Name:G
Last Name:MASLOWIEC
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8904 W 140TH ST APT 3G
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-9225
Mailing Address - Country:US
Mailing Address - Phone:708-374-9595
Mailing Address - Fax:
Practice Address - Street 1:8904 W 140TH ST APT 3G
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-9225
Practice Address - Country:US
Practice Address - Phone:708-374-9595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-11
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL217.0004202355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant