Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chicago Functional Neurology Group, Ltd

Organization Chiropractor · NPI 1053814814

Chicago Functional Neurology Group, Ltd is a Chiropractor in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2018.

Licensed in
IL
In the registry since
2018
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

30 S Michigan Ave Ste 302
Chicago, IL 60603-3225
Phone: (312) 767-3500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 038007206 (IL)

Record details

NPI number1053814814
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ralph Destephano — Owner/Chiropractic Neurologist · (312) 767-3500
NPI enumeratedMarch 17, 2018
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026
Mailing address2100 N Us Highway 12 Ste 101, Spring Grove, IL 60081-8308

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