Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 036116037 | IL |
NPI | 1154510311 |
---|---|
Provider Name | Dr. Baljinder Singh Bathla |
First Address | Chicago, IL 60605-2857 |
Second Address | Chicago, IL 60605-2857 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2007 |
Last Update Date | 20/05/2015 |