Garry S Isenstadt, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016002700 Issued in IL

Practice address

2831 N Milwaukee Ave
Chicago, IL 60618-7403

Phone

(773) 772-4440

Fax

(773) 772-4461

NPI assigned

May 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Logan Square Foot Center PC

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
  • NPI 1417126301
  NPD (past) Authorized official

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317600000000",
    "number": "1952358574",
    "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": {
        "last_name": "ISENSTADT",
        "first_name": "GARRY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2011-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016002700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016002700",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adina Jovan Isbell, LCSW
• Cemil Selim Isbir, MD
• Adam Isbiroglu
• Isd Renal Inc (Loop Renal Center)
• Suzanne Isenberg
• Hannah Iseyemi
• Shahin Isha, MD
• Ayana A Isham, AGNP
• Sarah Ishamuddin
• Sandal Faisal Ishaque, MD

• Podiatrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; 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.