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

Q: 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.

Q: What is Ralph Destephano's specialty?

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

Q: 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 4 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.

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: August 23, 2026.

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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

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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

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.

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 4 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.