Frank Deutsch Corporation

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

FRANK DEUTSCH CORPORATION

Doing business as

Modern Shoe Shop

Practice address

1309 N Galena Ave
Suite 110
Dixon, IL 61021-1060

Phone

(815) 284-3007

Fax

(815) 284-3007

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Gary Lee Michel, C PED

Title

President

Phone

(815) 284-3007

Specialties & licenses 1

Addresses

Other names 1

• Modern Shoe Shop Doing business as

Locations

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811054752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 N GALENA AVE",
            "address_2": "SUITE 110",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610211060",
            "telephone_number": "815-284-3007",
            "fax_number": "815-284-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 N GALENA AVE",
            "address_2": "SUITE 110",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610211060",
            "telephone_number": "815-284-3007",
            "fax_number": "815-284-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK DEUTSCH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MICHEL",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-284-3007",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C PED"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Shoe Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Forman Clinic of Chiropractic Rehabilitation
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• Gabriel Lynn Fossett, LSW
• Skyler P Fountain
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• Jolynn Frederick, RBT
• Tameka Freeman
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• Anne Fridh, PSYD
• Abigayl Frields, PMHNP-BC

• Prosthetic/Orthotic Supplier in Dixon, IL
• Providers in Dixon, 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 Aug 22, 2020; 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.