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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LORI JEAN KONICEK, CCC-SLP

Deactivated

LORI JEAN KONICEK, CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in MAHOMET, Illinois. NPI 1205424611 is deactivated in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · MAHOMET, IL

This NPI has been deactivated. The record was deactivated on July 5, 2022. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1205424611
Provider Type
Individual
Gender
Female
NPI Issued
Jan 2, 2021 (1.5041095890411 yrs)
Last Updated
Jan 23, 2024
Deactivated
Jul 5, 2022

Practice Information

Address
907 E OAK ST
MAHOMET, IL, 618533792
Browse IL providers · Browse ZIP 61853
Phone
2176215297
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in MAHOMET, IL

Name Credential NPI
DEBBIE DORA HARPER M.A. CCC-SLP 1811186935
MARCIE DIANE MCCLAIN M.A., CCC-SLP 1184955924
AMELIA K MILLER 1497022966
WENDY BORDOFF MCCAUGHRIN PH.D CCC-SLP 1720410285
RACHEL EINCK 1841606696
MRS. KARISSA MARIE LOUTHAN M.S., CCC-SLP 1194106450
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.