Provider Demographics
NPI:1124178652
Name:DAPKUS, VICTOR WAYNE (DC)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:WAYNE
Last Name:DAPKUS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25100 WRIGHT LN
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60585-5815
Mailing Address - Country:US
Mailing Address - Phone:815-609-6843
Mailing Address - Fax:
Practice Address - Street 1:3265 1-2 S ARCHER AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60608
Practice Address - Country:US
Practice Address - Phone:773-927-2929
Practice Address - Fax:773-927-2928
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038009018111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL208574Medicare ID - Type Unspecified
IL01634028Medicare UPIN