Organization
LOGAN SQUARE FOOT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARRY S ISENSTADT D.P.M. (DIRECTOR)
(773) 772-4440
Entity
Organization
Contact information
Practice address
2831 N MILWAUKEE AVE., CHICAGO, IL 60618-7403
(773) 772-4440
(773) 772-4461
Mailing address
2831 N MILWAUKEE AVE, CHICAGO, IL 60618-7403
(773) 772-4440
(773) 772-4461
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
IL
Other
Enumeration date
10/11/2006
Last updated
08/22/2020
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