FRANK DEUTSCH CORPORATION NPI 1811054752

NPI Information

  • NPI: 1811054752
  • Provider Name: FRANK DEUTSCH CORPORATION
  • Classification: Prosthetic/Orthotic Supplier - 335E00000X
  • Entity Type: Organization
  • Doing Business As: MODERN SHOE SHOP
  • Address: 1309 N GALENA AVE
    SUITE 110
    DIXON, IL
    ZIP 61021
  • Phone: (815) 284-3007

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NPI Details

FRANK DEUTSCH CORPORATION is a prosthetic orthotic supplier in Dixon, IL. The provider is 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. FRANK DEUTSCH CORPORATION NPI is 1811054752. The provider is registered as an organization entity type.
The provider Is Doing Business As Modern Shoe Shop.

The provider's business location address is:

1309 N GALENA AVE
SUITE 110
DIXON, IL
ZIP 61021-060
Phone: (815) 284-3007
Fax: (815) 284-3007

The provider's authorized official is Gary Lee Michel .
The authorized official title is President and has the following contact phone number (815) 284-3007.

The enumeration date for this NPI number is 1/2/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335E00000XProsthetic/Orthotic SupplierILLINOISYes

What is NPI?

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This page was last updated on: 11/21/2025

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