JEFF D. KAZMIERCZAK, PSY.D., P.C.
NPI 1316203896
Clinical Neuropsychologist in Bourbonnais, IL

Q: What is Jeff D. Kazmierczak, Psy.D., P.C.'s NPI number?

The NPI number for Jeff D. Kazmierczak, Psy.D., P.C. is 1316203896. It was assigned to this organization in the NPPES registry on April 9, 2012.

Q: What is Jeff D. Kazmierczak, Psy.D., P.C.'s specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Active since April 09, 2012

19 HERITAGE DR, SUITE 211, BOURBONNAIS, IL 60914(815) 933-8760(815) 933-9061 Get Directions Write a Review

NPPES record last updated: November 15, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jeff D. Kazmierczak, Psy.d., P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFF D. KAZMIERCZAK, PSY.D., P.C. (NPI 1316203896) is a healthcare organization registered as a clinical neuropsychologist in Bourbonnais, Illinois and active in the NPI registry since April 2012. The organization lists Jeffrey David Kazmierczak, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1316203896

Entity TypeOrganization

Primary Taxonomy103G00000X

Legal Business NameJEFF D. KAZMIERCZAK, PSY.D., P.C.

Location Address19 HERITAGE DR, SUITE 211Bourbonnais, IL 60914-1369

Mailing Address2626 Flossmoor Rd, 2eFlossmoor, IL 60422-1555 · (773) 412-2778

Phone(815) 933-8760

Fax(815) 933-9061

Organization SubpartNo

Authorized OfficialJeffrey David KazmierczakPsychologist · (773) 412-2778

Enumeration DateApril 9, 2012

Last NPPES UpdateNovember 15, 2012

✔ NPI 1316203896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologist · Adult Development & AgingTaxonomy 103TA0700X

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X

Also ListedPsychologist · CounselingTaxonomy 103TC1900X

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X

Also ListedPsychologist · RehabilitationTaxonomy 103TR0400X · License 071008293 (IL)

19 HERITAGE DR, Bourbonnais, IL 60914

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PULMONARY & CRITICAL CARE ASSOCIATES OF KANKAKEE LTD

Internal Medicine (Pulmonary Disease)

19 HERITAGE DR, STE 103
BOURBONNAIS, IL 60914

Kankakee County (815) 933-3814

FINLAY OCCUPATIONAL HEALTH LLC

Preventive Medicine (Occupational Medicine)

19 HERITAGE DR, ST. 105
BOURBONNAIS, IL 60914

Kankakee County (815) 936-0229

DR.VASANWALA LLC

Internal Medicine

19 HERITAGE DR, STE104
BOURBONNAIS, IL 60914

Kankakee County (815) 936-9440

DR. JERRY JOSEPH LEBEDA JR. DDS

Dentist

19 HERITAGE DR, SUITE 207
BOURBONNAIS, IL 60914

Kankakee County (815) 933-3479

DR. SALIL R VASANWALA M.D.

Internal Medicine

19 HERITAGE DR, STE104
BOURBONNAIS, IL 60914

Kankakee County (815) 936-9440

MEGAN K. BUCKLIN, LCPC, P.C.

Community/Behavioral Health

19 HERITAGE DR, SUITE 208
BOURBONNAIS, IL 60914

Kankakee County (815) 935-5540

DR. ANTONI BANAS MD

Pediatrics

19 HERITAGE DR, STE 209
BOURBONNAIS, IL 60914

Kankakee County (815) 932-3540

DR. AHAMED V.P. KUTTY M.D.

Internal Medicine (Pulmonary Disease)

19 HERITAGE DR, STE 105
BOURBONNAIS, IL 60914

Kankakee County (815) 933-3814

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeff D. Kazmierczak, Psy.D., P.C.'s NPI number?

The NPI number for Jeff D. Kazmierczak, Psy.D., P.C. is 1316203896. It was assigned to this organization in the NPPES registry on April 9, 2012.

Where is Jeff D. Kazmierczak, Psy.D., P.C. located?

Jeff D. Kazmierczak, Psy.D., P.C. is located at 19 Heritage Dr Suite 211, Bourbonnais, IL 60914. The listed phone number is (815) 933-8760.

What is Jeff D. Kazmierczak, Psy.D., P.C.'s specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Jeff D. Kazmierczak, Psy.D., P.C. was last updated on November 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.