Provider Demographics
NPI:1265318091
Name:KLOCEK, ALEKSANDRA (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:ALEKSANDRA
Middle Name:
Last Name:KLOCEK
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 LAKE ST APT 1601
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60301-1527
Mailing Address - Country:US
Mailing Address - Phone:847-917-2846
Mailing Address - Fax:
Practice Address - Street 1:3545 S 61ST AVE
Practice Address - Street 2:
Practice Address - City:CICERO
Practice Address - State:IL
Practice Address - Zip Code:60804-4145
Practice Address - Country:US
Practice Address - Phone:847-917-2846
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-15
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist