E. Wagner'S Shoes
E. Wagner'S Shoes is a healthcare organization registered as Prosthetic/Orthotic Supplier in River Forest, IL, holding Type 2 (organization) NPI 1104983337 since 2007. The authorized official on file is Jerry Stout, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104983337 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | E. Wagner'S Shoes |
| Practice address | 7379 NORTH AVE, River Forest, IL, 60305 |
| Phone | 7087714528 |
| Enumeration date | 2007-01-03 |
| Last updated in NPPES | 2008-12-17 |
Authorized official
| Name | Jerry Stout |
|---|---|
| Title | Owner |
| Phone | 7087714528 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | Primary | 0887330001 | IL |
Copy-ready billing details
Provider: E. Wagner'S Shoes NPI: 1104983337 Taxonomy: 335E00000X (Prosthetic/Orthotic Supplier) Address: 7379 NORTH AVE, River Forest, IL, 60305
Verify this record
Cross-check NPI 1104983337 against the authoritative CMS record: view E. Wagner'S Shoes on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is E. Wagner'S Shoes?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-12-17.