Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jeffrey David Kazmierczak, PSYD

Individual provider Clinical Psychologist · NPI 1902178015

Dr. Jeffrey David Kazmierczak, PSYD is a Clinical Psychologist in Bourbonnais, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
Specialties on file
7
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

19 Heritage Plz 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 · Licence 071008293 (IL)
Clinical Psychologist Taxonomy 103TC0700X · Licence 071008293 (IL)
Adult Development & Aging Psychologist Taxonomy 103TA0700X
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X
Counseling Psychologist Taxonomy 103TC1900X
Rehabilitation Psychologist Taxonomy 103TR0400X
Forensic Psychologist Taxonomy 103TF0200X · Licence 071008293 (IL)

Record details

NPI number1902178015
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedFebruary 4, 2012
Last updated in NPPESApril 9, 2012

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