Provider Demographics
NPI:1043323546
Name:NEMCEK, GEORGE E (DC)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:E
Last Name:NEMCEK
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 1:612 E GOLF RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-4061
Mailing Address - Country:US
Mailing Address - Phone:847-718-0071
Mailing Address - Fax:847-718-0103
Practice Address - Street 1:612 E GOLF RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-4061
Practice Address - Country:US
Practice Address - Phone:847-718-0071
Practice Address - Fax:847-718-0103
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-006577111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL212694Medicare ID - Type Unspecified
ILU43932Medicare UPIN