Healthcare Provider Details

I. General information

NPI: 1043323546
Provider Name (Legal Business Name): GEORGE E. NEMCEK D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

612 E GOLF RD
ARLINGTON HEIGHTS IL
60005-4061
US

IV. Provider business mailing address

612 E GOLF RD
ARLINGTON HEIGHTS IL
60005-4061
US

V. Phone/Fax

Practice location:
  • Phone: 847-718-0071
  • Fax: 847-718-0103
Mailing address:
  • Phone: 847-718-0071
  • Fax: 847-718-0103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number038-006577
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: