1. Home
  2. Directory
  3. Illinois
  4. Spring Grove
  5. Chiropractor
  6. NPI Profile

RALPH DESTEPHANO DC, DACNB
NPI 1053429670
Chiropractor - Neurology in Spring Grove, IL

Active since August 25, 2006Accepts Medicare Assignment
2100 N US HWY 12, SUITE 101, SPRING GROVE, IL 60081(815) 675-0675(815) 675-9836 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ralph Destephano Dc, Dacnb NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RALPH DESTEPHANO DC, DACNB (NPI 1053429670) is an individual neurology provider in Spring Grove, Illinois, licensed in Illinois (038007206) and active in the NPI registry since August 2006. He is a graduate of National College Of Chiropractic (1992).

NPPES Registry Identity

NPI1053429670
Entity TypeIndividualMale
Primary Taxonomy111NN0400X
Provider Legal NameRALPH DESTEPHANOCredential: DC, DACNB
Location Address2100 N US HWY 12, SUITE 101Spring Grove, IL 60081
Mailing Address2100 N Us Highway 12 Ste 101Spring Grove, IL 60081-8308 · (815) 675-0675 · Fax (815) 675-9836
Phone(815) 675-0675
Fax(815) 675-9836
Sole ProprietorNo
Medical School CMSNational College Of ChiropracticGraduated 1992
Enumeration DateAugust 25, 2006
Last NPPES UpdateApril 21, 2026
NPPES CertifiedApril 21, 2026
✔ NPI 1053429670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · NeurologyChiropractic Providers
Taxonomy Code111NN0400X
License✔ Licensed in IL · 038007206
Definition
Chiropractic Neurology is defined as the field of functional neurology that engages the internal - and external environment of the individual in a structured and targeted approach to affect positive changes in the nervous system and consequently the physiology and behavior of an individual. Chiropractic Neurologists are board-certified specialists in non-drug, non-surgical care for those with neurologically based health problems. There are many conditions people suffer from that are in this broad category: learning and attention disorders, headaches, vertigo, pain syndromes, developmental disorders, nerve injury, spinal cord injury, head injury or stroke, movement disorders, and many other conditions.
2100 N US HWY 12, Spring Grove, IL 60081
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ralph Destephano Dc, Dacnb is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113986605
PECOS Enrollment IDI20041008001295

Medicare Billing Reassignment

Medicare enrollment records show Ralph Destephano reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Spring Grove Medical Offices Ltd
11 mi
Chiropractor
2100 ROUTE 12, SUITE 101
Spring Grove, IL 60081
  • Reassigned Medicare billing, Illinois enrollment
  • 3 clinicians in this Medicare group
NPI 1740332592 (815) 675-0675

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
597 services56 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ralph Destephano's NPI number?

The NPI number for Ralph Destephano is 1053429670. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Ralph Destephano located?

Ralph Destephano practices at 2100 N Us Hwy 12 Suite 101, Spring Grove, IL 60081. The listed phone number is (815) 675-0675.

What is Ralph Destephano's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Neurology, with taxonomy code 111NN0400X.

Is Ralph Destephano enrolled in Medicare?

Yes. Ralph Destephano is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Ralph Destephano's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ralph Destephano reassigns Medicare benefits to Spring Grove Medical Offices Ltd (Spring Grove, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ralph Destephano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ralph Destephano was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.