Organization · Type 2 NPI

Form and Function PLLC

Chiropractor · Chicago, IL

NPI number 1255263554 Active

Practice location

1512 N Fremont St Ste 104
Chicago, IL 60642-2567

Call (815) 217-4964 Map

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XNone listed

Chiropractor: 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.

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About NPI 1255263554

Form and Function PLLC's National Provider Identifier is 1255263554, issued on Jun 1, 2026. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Chicago, IL. The record was last updated on Jun 1, 2026.