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

Dr. Jon-Paul Champine, PSYD

Individual provider Clinical Psychologist · NPI 1982698833

Dr. Jon-Paul Champine, PSYD is a Clinical Psychologist in Kenilworth, Illinois. Qualified in 2003, 23 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
23
Licensed in
IL
In the registry since
2005
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

503 Park Dr Ste 6
Kenilworth, IL 60043-1094
Phone: (847) 571-4985
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 071006739 (IL)

Record details

NPI number1982698833
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedSeptember 7, 2005
Last updated in NPPESJuly 30, 2025
Certification dateJuly 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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