Healthcare Provider Details

I. General information

NPI: 1063634202
Provider Name (Legal Business Name): SUPERCZYNSKI FAMILY CHIROPRACTIC, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 S WASHINGTON ST SUITE200
NAPERVILLE IL
60540-6666
US

IV. Provider business mailing address

600 S WASHINGTON ST SUITE200
NAPERVILLE IL
60540-6666
US

V. Phone/Fax

Practice location:
  • Phone: 630-355-4450
  • Fax: 630-355-4950
Mailing address:
  • Phone: 630-355-4450
  • Fax: 630-355-4950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number StateIL

VIII. Authorized Official

Name: DR. STEVEN EDWARD SUPERCZYNSKI
Title or Position: OWNER
Credential: DC,FICPA,DACCP
Phone: 630-355-4450