Modern Shoe Shop is a Prosthetic & Orthotic Supplier (Prosthetic & Orthotic Supplier) in Dixon, Illinois. It is situated at 1309 N Galena Ave, Suite 110, Dixon and its contact number is 815-284-3007. The authorized person of Modern Shoe Shop is Mr. Gary Lee Michel
who is President of the store and his/her contact number is 815-284-3007. Modern Shoe Shop 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.
Complete Center Profile:
Modern Shoe Shop Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
1309 N Galena Ave, Suite 110, Dixon, Illinois, 61021-1060
Phone:
815-284-3007
Fax:
815-284-3007
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
Name:
Mr. Gary Lee Michel
Position:
President
Contact Number:
815-284-3007
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Modern Shoe Shop center are as mentioned below.
NPI Number:
1811054752
NPI Enumeration Date:
02 Jan, 2007
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Modern Shoe Shop are as mentioned below.
Specialization
License Number
State
Status
Illinois
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Modern Shoe Shop 1309 N Galena Ave, Suite 110 Dixon, Illinois
Zip:
61021-1060
Phone Number:
815-284-3007
Fax Number:
815-284-3007
Patients can reach Modern Shoe Shop at 1309 N Galena Ave, Suite 110, Dixon, Illinois or can call to book an appointment on 815-284-3007. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.