MEDICARE: SBNB INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility		IL

General Provider Information

NPI Number	:	1205266988
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SBNB INC.

Provider Business Mailing Address
First Line	:	200 E LAKE ST
Second Line	:
City	:	ELMHURST
State	:	IL
Zip	:	60126-2013
Country	:	US
Telephone Number	:	630-516-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 E LAKE ST
Second Line	:
City	:	ELMHURST
State	:	IL
Zip	:	60126-2013
Country	:	US
Telephone Number	:	630-516-5000
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MADHUSUDAN DAVE
Credential	:
Telephone Number	:	630-516-5000

Provider Enumeration Date	:	11/18/2013
Last Update Date	:	06/23/2026

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