Provider Demographics
NPI:1386906444
Name:SUPERIOR FAMILY CHIROPRACTIC INC.
Entity type:Organization
Organization Name:SUPERIOR FAMILY CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:WOJNICKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:847-668-3302
Mailing Address - Street 1:12740 HILLCREST RD
Mailing Address - Street 2:SUITE 138
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2038
Mailing Address - Country:US
Mailing Address - Phone:847-668-3302
Mailing Address - Fax:
Practice Address - Street 1:12740 HILLCREST RD
Practice Address - Street 2:SUITE 138
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2038
Practice Address - Country:US
Practice Address - Phone:847-668-3302
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-13
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11582111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty