Organization
SDG INC.,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE M. GUPTA (PRESIDENT)
(847) 681-8947
Entity
Organization
Contact information
Practice address
2715 KELLY LN, HIGHLAND PARK, IL 60035-1656
(847) 681-8947
(866) 828-0028
Mailing address
2715 KELLY LN, HIGHLAND PARK, IL 60035-1656
(847) 681-8947
(866) 828-0028
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
3336M0002X
Mail Order Pharmacy
—
—
335G00000X
Medical Foods Supplier
—
—
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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