Waxberg Orthopedic Shoes Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

WAXBERG ORTHOPEDIC SHOES INC

Practice address

7013 W Dempster St
Niles, IL 60714-2130

Phone

(847) 965-3338

Fax

(847) 965-3337

NPI assigned

Aug 12, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ronald Waxberg

Title

Owner

Phone

(847) 965-3338

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276473600000",
    "number": "1023020997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7013 W DEMPSTER ST",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607142130",
            "telephone_number": "847-965-3338",
            "fax_number": "847-965-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7013 W DEMPSTER ST",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607142130",
            "telephone_number": "847-965-3338",
            "fax_number": "847-965-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAXBERG ORTHOPEDIC SHOES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2010-06-14",
        "status": "A",
        "authorized_official_last_name": "WAXBERG",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-965-3338"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ANTHEM OF OHIO",
            "identifier": "000000297127",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "0001670958",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Walgreen Co
• Walmart Inc.
• Walmart Inc.
• Michael Jay Wasserman, MD
• Katherine Wegrecki
• Lawrence K Weiner, M.D.
• Sherwin Weisman, BC-HIS
• Teresa Weiss
• Wellness Medical Center LLC

• Prosthetic/Orthotic Supplier in Niles, IL
• Providers in Niles, IL by specialty
• Prosthetic/Orthotic Supplier in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.