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E. WAGNER'S SHOES
NPI 1104983337
Prosthetic/Orthotic Supplier in River Forest, IL

Active since January 03, 2007
7379 NORTH AVE, RIVER FOREST, IL 60305(708) 771-4528 Get Directions Write a Review

NPPES record last updated: December 17, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About E. Wagner's Shoes NPPES

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

E. WAGNER'S SHOES (NPI 1104983337) is a healthcare organization registered as a prosthetic/orthotic supplier in River Forest, Illinois and active in the NPI registry since January 2007. The organization lists Jerry L. Stout, Owner, as its authorized official.

NPPES Registry Identity

NPI1104983337
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameE. WAGNER'S SHOES
Location Address7379 NORTH AVERiver Forest, IL 60305-1230
Mailing Address7379 North AveRiver Forest, IL 60305-1230 · (708) 771-4528
Phone(708) 771-4528
Organization SubpartNo
Authorized OfficialJerry L. StoutOwner · (708) 771-4528
Enumeration DateJanuary 3, 2007
Last NPPES UpdateDecember 17, 2008
✔ NPI 1104983337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
License✔ Licensed in IL · 0887330001
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
7379 NORTH AVE, River Forest, IL 60305
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Other Identifiers 1

Medicare NSC0887330001IL

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 E. Wagner's Shoes's NPI number?

The NPI number for E. Wagner's Shoes is 1104983337. It was assigned to this organization in the NPPES registry on January 3, 2007.

Where is E. Wagner's Shoes located?

E. Wagner's Shoes is located at 7379 North Ave, River Forest, IL 60305. The listed phone number is (708) 771-4528.

What is E. Wagner's Shoes's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for E. Wagner's Shoes was last updated on December 17, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.