Organization Active NPI

SDG Inc.,

  • Durable Medical Equipment & Medical Supplies
  • Highland Park, IL
National Provider Identifier
1124379425
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SDG INC.,
Practice address
2715 Kelly LN
Highland Park, IL 60035-1656
Phone
(847) 681-8947
Fax
(866) 828-0028
NPI assigned
Sep 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joe M. Gupta
Title
President
Phone
(847) 681-8947

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Mail Order Pharmacy 3336M0002X
Medical Foods Supplier 335G00000X

Addresses

Primary practice location

2715 Kelly LN
Highland Park, IL 60035-1656

Mailing address

2715 Kelly LN
Highland Park, IL 60035-1656
Phone (847) 681-8947

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1124379425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 KELLY LN",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600351656",
            "telephone_number": "847-681-8947",
            "fax_number": "866-828-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 KELLY LN",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600351656",
            "telephone_number": "847-681-8947",
            "fax_number": "866-828-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SDG INC.,",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-681-8947"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335G00000X",
            "taxonomy_group": "",
            "desc": "Medical Foods Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.