Provider Demographics
NPI:1649383159
Name:NEMCEK CHIROPRACTIC CENTER PC
Entity Type:Organization
Organization Name:NEMCEK CHIROPRACTIC CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:E
Authorized Official - Last Name:NEMCEK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:847-718-0071
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILO38-006577111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty