Organization
CHICAGO SPORTS AND SPINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BALJINDER S. BATHLA MD (PRESIDENT)
(312) 576-5264
Entity
Organization
Contact information
Practice address
1550 S INDIANA AVE, SUITE 100, CHICAGO, IL 60605-2857
(312) 576-5264
Mailing address
1550 S INDIANA AVE, SUITE 100, CHICAGO, IL 60605-2857
(312) 623-7246
(312) 583-9300
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036116037
IL
Other
Enumeration date
12/01/2008
Last updated
08/12/2025
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