Provider Demographics
NPI:1508616939
Name:VOSTERS, CALEB M (DC)
Entity Type:Individual
Prefix:DR
First Name:CALEB
Middle Name:M
Last Name:VOSTERS
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 1:2311 N RINGWOOD RD UNIT 101
Mailing Address - Street 2:
Mailing Address - City:MCHENRY
Mailing Address - State:IL
Mailing Address - Zip Code:60050-1327
Mailing Address - Country:US
Mailing Address - Phone:224-241-7613
Mailing Address - Fax:
Practice Address - Street 1:2311 N RINGWOOD RD UNIT 101
Practice Address - Street 2:
Practice Address - City:MCHENRY
Practice Address - State:IL
Practice Address - Zip Code:60050-1327
Practice Address - Country:US
Practice Address - Phone:224-241-7613
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-26
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.014081111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor