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NPI Code Detail

MEDICARE: SABRA INC.

MEDICARE: SABRA 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
1332B00000XDurable Medical Equipment & Medical SuppliesIL

General Provider Information

NPI Number : 1578635850
Entity Type Code : Organization
Provider Name (Legal Business Name) : SABRA INC.
Provider Business Mailing Address
First Line : 1393 CHIPPEWA TRL
Second Line :
City : WHEELING
State : IL
Zip : 60090-5111
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 251 MILWAUKEE AVE
Second Line : SUITE # 111
City : BUFFALO GROVE
State : IL
Zip : 60089-2809
Country : US
Telephone Number : 847-279-8165
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. LEONID ILINSKIY
Credential :
Telephone Number : 847-687-7670
Provider Enumeration Date : 11/14/2006
Last Update Date : 08/22/2020

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Directions to “SABRA INC. ” Practice Location

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