Healthcare Provider Details

I. General information

NPI: 1649383159
Provider Name (Legal Business Name): NEMCEK CHIROPRACTIC CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 12/19/2012
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 NumberO38-006577
License Number StateIL

VIII. Authorized Official

Name: DR. GEORGE E. NEMCEK
Title or Position: PRESIDENT
Credential: D.C.
Phone: 847-718-0071