Logan Square Foot Center PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

016002700 Issued in IL

Legal business name

LOGAN SQUARE FOOT CENTER PC

Practice address

2831 N Milwaukee Ave
Chicago, IL 60618-7403

Phone

(773) 772-4440

Fax

(773) 772-4461

NPI assigned

Feb 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Garry S. Isenstadt, D.P.M.NPI 1952358574

Title

Doctor

Phone

(773) 772-4440

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Garry S Isenstadt, D.P.M.

  • Podiatrist
  • Chicago, IL
  • NPI 1952358574
  NPD (past) Authorized official

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378425600000",
    "number": "1417126301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606187403",
            "telephone_number": "773-772-4440",
            "fax_number": "773-772-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606187403",
            "telephone_number": "773-772-4440",
            "fax_number": "773-772-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGAN SQUARE FOOT CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2013-09-06",
        "status": "A",
        "authorized_official_last_name": "ISENSTADT",
        "authorized_official_first_name": "GARRY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "773-772-4440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "016002700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0060020807",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016002700",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1952358574",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Logan Square Acupuncture, LLC
• Logan Square Anesthesia PC
• Logan Square Counseling LLC
• Logan Square Dental Service Center (Cicero Irving Park Dental Group)
• Logan Square Foot Center
• Logan Square Medical Institute SC
• Logan Square MRI
• Logan Square Supportive Living LLC
• Logan Square Surgery Center
• Logan Square Surgery Center Corp

• Durable Medical Equipment & Medical Supplies in Chicago, IL
• Providers in Chicago, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; 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.