Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Custom Brace Shop Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1306865563

Custom Brace Shop Inc is a Durable Medical Equipment & Medical Supplies in Galesburg, Illinois. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

872 W Dayton St
Galesburg, IL 61401-1503
Phone: (309) 344-5330
Fax: (309) 344-5040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X

Record details

NPI number1306865563
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fakhry Azer — President /Owner · (309) 344-3400
NPI enumeratedJuly 19, 2006
Last updated in NPPESJuly 11, 2008
Mailing address872 W Dayton St, Galesburg, IL 61401-1503

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