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Deactivated NPI 1205424611 Deactivated / Inactive NPI Female Practitioner

Lori Jean Konicek , CCC-SLP

Speech-Language Pathologist • Mahomet, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Lori Konicek has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 02, 2021
NPI Deactivation Date July 05, 2022
Total Practice Duration ~1 Years of Practice (2021 – 2022)

Professional Overview & Biography Verified Profile Summary

Lori Konicek, CCC-SLP was a registered Speech-Language Pathologist practicing in Mahomet, IL. Throughout an active medical career spanning 1 years, Lori Konicek provided care at the practice location at 907 E OAK ST until profile deactivation on 2022-07-05.

Practice Location & Contact Primary Location

Practice Address

907 E Oak St

Mahomet, IL 618533792

Telephone 2176215297

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Mahomet, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
11 Specialists

Practicing in Mahomet, IL (10321 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-01-23
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
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Updated Practice Location January 23, 2024

Registered at 907 E OAK ST, MAHOMET, IL 618533792 (Tel: 2176215297)

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Updated Business Mailing Address January 23, 2024

Registered at 907 E OAK ST, MAHOMET, IL 618533792 (Tel: 2176215297)

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Provider Name / Credentials Updated January 23, 2024

Recorded as LORI KONICEK, CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2024

Speech-Language Pathologist

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NPI Profile Deactivated July 05, 2022

Record deactivated on July 05, 2022

NPI Profile Active January 02, 2021

NPI status registered as active in NPPES database

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Updated Practice Location January 02, 2021

Registered at 4506 SOUTHFORD TRACE DR, CHAMPAIGN, IL 618228580 (Tel: 2176215297)

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Updated Business Mailing Address January 02, 2021

Registered at 4506 SOUTHFORD TRACE DR, CHAMPAIGN, IL 618228580 (Tel: 2176215297)

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Provider Name / Credentials Updated January 02, 2021

Recorded as LORI KONICEK, CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2021

Speech-Language Pathologist (License #146-003632 in IL)

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Initial NPI Registration & Enumeration January 02, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205424611
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 02, 2021
Last Update: January 23, 2024
Deactivation Date: July 05, 2022
Sole Proprietor: No

Mailing Address

907 E Oak St

Mahomet, IL 618533792

Phone: 2176215297

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.