Dr Jeffrey David Kazmierczak, PSYD is a
Clinical Neuropsychologist based in Bourbonnais, Illinois. Dr Jeffrey David Kazmierczak is licensed to practice in Illinois (license number 071008293) and his current practice location is
19 Heritage Plz, Suite 211, Bourbonnais, Illinois. He can be reached at his office (for appointments etc.) via phone at
(815) 933-8760.
NPI number for Dr Jeffrey David Kazmierczak is 1902178015 and his current mailing address is 19 Heritage Plz, Suite 211, Bourbonnais, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1902178015.
Healthcare Provider's Profile
| Full Name | Dr Jeffrey David Kazmierczak |
|---|
| Gender | Male |
|---|
| Speciality | Clinical Neuropsychologist |
|---|
| Location | 19 Heritage Plz, Bourbonnais, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1902178015
- Provider Enumeration Date: 02/04/2012
- Last Update Date: 04/09/2012
Medical Identifiers
Medical identifiers for Dr Jeffrey David Kazmierczak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902178015 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 071008293 (Illinois) | Secondary |
| 103TA0700X | Psychologist - Adult Development & Aging | (* (Not Available)) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Secondary |
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Secondary |
| 103TR0400X | Psychologist - Rehabilitation | (* (Not Available)) | Secondary |
| 103TF0200X | Psychologist - Forensic | 071008293 (Illinois) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 071008293 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jeffrey David Kazmierczak is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jeffrey David Kazmierczak, PSYD
19 Heritage Plz, Suite 211,
Bourbonnais, IL 60914-1369
Ph: (815) 933-8760 | Dr Jeffrey David Kazmierczak, PSYD
19 Heritage Plz, Suite 211,
Bourbonnais, IL 60914-1369
Ph: (815) 933-8760 |
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