Kazmierczak, Jeffrey David

Kazmierczak, Jeffrey David is an individual health care provider with primary practice located at 19 Heritage Plz Suite 211, Bourbonnais IL 60914-1369. He recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Rehabilitation, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Kazmierczak, Jeffrey David can be contacted via phone (815) 933-8760.

Contact Information

Primary practice address
19 Heritage Plz Suite 211 Bourbonnais IL 60914-1369
Phone: (815) 933-8760
Fax: (815) 933-9061
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071008293 Illinois
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Counseling 103TC1900X
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X
Behavioral Health & Social Service Providers / Forensic 103TF0200X 071008293 Illinois
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 071008293 Illinois

Profile Details

NPI number 1902178015
LBN Legal business name Kazmierczak, Jeffrey David
Credentials PSY.D
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2012
Last updated Apr 9th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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