Individual
DR. GARRY S ISENSTADT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
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
213E00000X
Podiatrist
Primary
016002700
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016002700
—
IL
Enumeration date
05/28/2006
Last updated
10/03/2011
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