Individual provider Active NPI

Kaspars Vilems, D.C.

  • Chiropractor
  • Northbrook, IL
National Provider Identifier
1457366809
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-010375 Issued in IL
Practice address
3400 Dundee Rd Ste 230
Northbrook, IL 60062-2334
Phone
(847) 849-1523
Fax
(847) 890-6145
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-010375 IL Primary

Addresses

Primary practice location

3400 Dundee Rd Ste 230
Northbrook, IL 60062-2334

Mailing address

PO Box 360352
Pittsburgh, PA 15251-6352
Phone (124) 657-9003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060324000591 IL Practitioner - Chiropractic 5698702215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ewima Rehab LLCGroup PAC ID 0749729481, 2 clinicians

Practice addresses (Care Compare)

3400 Dundee Rd
Suite 230
Northbrook, IL 60062-2334
Phone (847) 849-1523

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-010375ILMDChiropractor
011055NYMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ewima Rehab, LLC Chiropractor CurrentSince Jul 29, 2024 Accepting new patients
Advanced Care Physical Therapy Inc Past Accepting new patients
Noel Castelino SC Past Accepting new patients
Brooklyn Chiropractic Spine & Sports Injury PC Past Accepting new patients
LK Chiropractic PC Chiropractor Past Accepting new patients
East Shore Medical PC Past Accepting new patients
L.K. Chiropractic Chiropractor Past Accepting new patients

Locations

3400 Dundee Rd
Ste 230
Northbrook, IL 60062
Phone (847) 226-5503

3400 Dundee Rd
Northbrook, IL 60062
Phone (312) 492-4820

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1457366809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360352",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152516352",
            "telephone_number": "124-657-9003",
            "fax_number": "847-510-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 DUNDEE RD STE 230",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622334",
            "telephone_number": "847-849-1523",
            "fax_number": "847-890-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILEMS",
        "first_name": "KASPARS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-010375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.