Provider Demographics
NPI:1457366809
Name:VILEMS, KASPARS (DC)
Entity Type:Individual
Prefix:DR
First Name:KASPARS
Middle Name:
Last Name:VILEMS
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:PO BOX 360352
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15251-6352
Mailing Address - Country:US
Mailing Address - Phone:124-657-9003
Mailing Address - Fax:847-510-0702
Practice Address - Street 1:342 S MILWAUKEE AVE
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:IL
Practice Address - Zip Code:60090-5021
Practice Address - Country:US
Practice Address - Phone:847-520-8902
Practice Address - Fax:847-520-8929
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-010375111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor