CHICAGO FUNCTIONAL NEUROLOGY GROUP, LTD.
NPI 1053814814
Chiropractor in Chicago, IL

Active since March 17, 2018
30 S MICHIGAN AVE STE 302, CHICAGO, IL 60603(312) 767-3500 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 21, 2026, Mar 17, 2018 (2 updates tracked since 2018).

About Chicago Functional Neurology Group, Ltd. NPPES

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

CHICAGO FUNCTIONAL NEUROLOGY GROUP, LTD. (NPI 1053814814) is a healthcare organization registered as a chiropractor in Chicago, Illinois and active in the NPI registry since March 2018. The organization lists Ralph P Destephano, Owner/chiropractic Neurologist, as its authorized official.

NPPES Registry Identity

NPI1053814814
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCHICAGO FUNCTIONAL NEUROLOGY GROUP, LTD.
Location Address30 S MICHIGAN AVE STE 302Chicago, IL 60603-3225
Mailing Address2100 N Us Highway 12 Ste 101Spring Grove, IL 60081-8308 · (815) 675-0675 · Fax (815) 675-9836
Organization SubpartNo
Authorized OfficialRalph P DestephanoOwner/chiropractic Neurologist · (312) 767-3500
Enumeration DateMarch 17, 2018
Last NPPES UpdateApril 21, 20262 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
NPI 1053814814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in IL · 038007206
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
30 S MICHIGAN AVE STE 302, Chicago, IL 60603

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Chicago Functional Neurology Group, Ltd.'s NPI number?

The NPI number for Chicago Functional Neurology Group, Ltd. is 1053814814. It was assigned to this organization in the NPPES registry on March 17, 2018.

Where is Chicago Functional Neurology Group, Ltd. located?

Chicago Functional Neurology Group, Ltd. is located at 30 S Michigan Ave Ste 302, Chicago, IL 60603. The listed phone number is (312) 767-3500.

What is Chicago Functional Neurology Group, Ltd.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Chicago Functional Neurology Group, Ltd. 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 3 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.