Organization
CHICAGO FUNCTIONAL NEUROLOGY GROUP, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH P DESTEPHANO DC, DACBN (OWNER/CHIROPRACTIC NEUROLOGIST)
(312) 767-3500
Entity
Organization
Contact information
Practice address
30 S MICHIGAN AVE STE 302, CHICAGO, IL 60603-3225
(312) 767-3500
Mailing address
2100 N US HIGHWAY 12 STE 101, SPRING GROVE, IL 60081-8308
(815) 675-0675
(815) 675-9836
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038007206
IL
Other
Enumeration date
03/17/2018
Last updated
04/21/2026
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