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:
Health care specialties
Specialty | Code | License # | 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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