Healthcare Provider Details

I. General information

NPI: 1659552693
Provider Name (Legal Business Name): SAYVA MEDICAL LIMITED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2007
Last Update Date: 11/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1322 S PRAIRIE AVE UNIT 1102
CHICAGO IL
60605-3064
US

IV. Provider business mailing address

1322 S PRAIRIE AVE UNIT 1102
CHICAGO IL
60605-3064
US

V. Phone/Fax

Practice location:
  • Phone: 312-576-5264
  • Fax:
Mailing address:
  • Phone: 312-576-5264
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number StateIL

VIII. Authorized Official

Name: DR. BALJINDER SINGH BATHLA
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: M.D.
Phone: 312-576-5264