Provider Demographics
NPI:1659552693
Name:SAYVA MEDICAL LIMITED
Entity Type:Organization
Organization Name:SAYVA MEDICAL LIMITED
Other - Org Name:CHICAGO PAIN AND SPINE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:BALJINDER
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:BATHLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-576-5264
Mailing Address - Street 1:1322 S PRAIRIE AVE
Mailing Address - Street 2:UNIT 1102
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60605-3064
Mailing Address - Country:US
Mailing Address - Phone:312-576-5264
Mailing Address - Fax:
Practice Address - Street 1:1322 S PRAIRIE AVE
Practice Address - Street 2:UNIT 1102
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60605-3064
Practice Address - Country:US
Practice Address - Phone:312-576-5264
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-19
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL261QP3300X, 261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation