# CHICAGO SPORTS AND SPINE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316192628
- **Authorized official:** DR. BALJINDER S. BATHLA MD (PRESIDENT)
- **Authorized official phone:** (312) 576-5264

## Contact information

- **Practice address:** 1550 S INDIANA AVE, SUITE 100, CHICAGO, IL 60605-2857
- **Practice address phone:** (312) 576-5264
- **Mailing address:** 1550 S INDIANA AVE, SUITE 100, CHICAGO, IL 60605-2857
- **Mailing address phone:** (312) 623-7246
- **Mailing address fax:** (312) 583-9300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 036116037 | IL | Yes |

## Other

- **Enumeration date:** 12/01/2008
- **Last updated:** 08/12/2025