| NPI | 1063634202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN EDWARD SUPERCZYNSKI Owner 630-355-4450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038009114) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: IL 060009471) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |