Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeff D. Kazmierczak, Psy D , PC

Organization Clinical Neuropsychologist · NPI 1316203896

Jeff D. Kazmierczak, Psy D , PC is a Clinical Neuropsychologist in Bourbonnais, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
Specialties on file
6
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19 Heritage Dr Ste 211
Bourbonnais, IL 60914-1369
Phone: (815) 933-8760
Fax: (815) 933-9061
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X
Adult Development & Aging Psychologist Taxonomy 103TA0700X
Clinical Psychologist Taxonomy 103TC0700X
Counseling Psychologist Taxonomy 103TC1900X
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X
Rehabilitation Psychologist Taxonomy 103TR0400X · Licence 071008293 (IL)

Record details

NPI number1316203896
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Kazmierczak — Psychologist · (773) 412-2778
NPI enumeratedApril 9, 2012
Last updated in NPPESNovember 15, 2012
Mailing address2626 Flossmoor Rd, 2e, Flossmoor, IL 60422-1555

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