LOGAN SQUARE FOOT CENTER PC
NPI 1417126301
Durable Medical Equipment & Medical Supplies in Chicago, IL

Active since February 25, 2008
2831 N MILWAUKEE AVE, CHICAGO, IL 60618(773) 772-4440(773) 772-4461 Get Directions Write a Review

NPPES record last updated: September 6, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Logan Square Foot Center Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOGAN SQUARE FOOT CENTER PC (NPI 1417126301) is a healthcare organization registered as a durable medical equipment & medical supplies in Chicago, Illinois and active in the NPI registry since February 2008. The organization lists Garry S. Isenstadt, Doctor, as its authorized official.

NPPES Registry Identity

NPI1417126301
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameLOGAN SQUARE FOOT CENTER PC
Location Address2831 N MILWAUKEE AVEChicago, IL 60618-7403
Mailing Address2831 N Milwaukee AveChicago, IL 60618-7403 · (773) 772-4440 · Fax (773) 772-4461
Fax(773) 772-4461
Organization SubpartNo
Authorized OfficialGarry S. IsenstadtDoctor · (773) 772-4440
Enumeration DateFebruary 25, 2008
Last NPPES UpdateSeptember 6, 2013
NPI 1417126301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License Licensed in IL · 016002700
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
2831 N MILWAUKEE AVE, Chicago, IL 60618

Other Identifiers 6

Medicaid016002700IL
Medicare UPINT36912IL
Medicare NSC5765940001IL
Other1952358574IL · Npi
Medicare PIN213713IL
Other0060020807IL · Bcbs

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
2831 N MILWAUKEE AVE
CHICAGO, IL 60618
Podiatrist
2831 N MILWAUKEE AVE
CHICAGO, IL 60618

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Logan Square Foot Center PC's NPI number?

The NPI number for Logan Square Foot Center PC is 1417126301. It was assigned to this organization in the NPPES registry on February 25, 2008.

Where is Logan Square Foot Center PC located?

Logan Square Foot Center PC is located at 2831 N Milwaukee Ave, Chicago, IL 60618. The listed phone number is (773) 772-4440.

What is Logan Square Foot Center PC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Logan Square Foot Center PC was last updated on September 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.