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

E. Wagner's Shoes

Organization Prosthetic/Orthotic Supplier · NPI 1104983337

E. Wagner's Shoes is a Prosthetic/Orthotic Supplier in River Forest, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
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Practice location Address checks out

7379 N Ave
River Forest, IL 60305-1230
Phone: (708) 771-4528
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X · Licence 0887330001 (IL)

Record details

NPI number1104983337
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Stout — Owner · (708) 771-4528
NPI enumeratedJanuary 3, 2007
Last updated in NPPESDecember 17, 2008
Mailing address7379 North Ave, River Forest, IL 60305-1230