Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lori Jean Konicek, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1205424611

Lori Jean Konicek, CCC-SLP is a Speech-Language Pathologist in Mahomet, Illinois. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

See every abbreviation used in this directory →

Practice location Address checks out

907 E Oak St
Mahomet, IL 61853-3792
Phone: (217) 621-5297
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1205424611
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedJanuary 2, 2021
Last updated in NPPESJanuary 23, 2024
Certification dateJanuary 23, 2024

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