Healthcare Provider Details

I. General information

NPI: 1154561892
Provider Name (Legal Business Name): TOTAL HEALTH INSTITUTE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2009
Last Update Date: 05/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23W525 SAINT CHARLES RD
CAROL STREAM IL
60188-2867
US

IV. Provider business mailing address

23W525 SAINT CHARLES RD.
WHEATON IL
60188
US

V. Phone/Fax

Practice location:
  • Phone: 630-871-0000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number038005294
License Number StateIL

VIII. Authorized Official

Name: DR. KEITH NEMEC
Title or Position: PRESIDENT
Credential: D.C.
Phone: 630-871-0000