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

Form and Function PLLC

Organization Chiropractor · NPI 1255263554

Form and Function PLLC is a Chiropractor in Chicago, Illinois. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1512 N Fremont St Ste 104
Chicago, IL 60642-2567
Phone: (815) 217-4964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X

Record details

NPI number1255263554
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shane McTague — Owner · (815) 217-4964
NPI enumeratedJune 1, 2026
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026
Mailing address1512 N Fremont St Ste 104, Chicago, IL 60642-2567

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