MEDICARE: SDG INC.,

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	3336M0002X	Mail Order Pharmacy
2	335G00000X	Medical Foods Supplier
3	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1124379425
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SDG INC.,

Provider Business Mailing Address
First Line	:	2715 KELLY LN
Second Line	:
City	:	HIGHLAND PARK
State	:	IL
Zip	:	60035-1656
Country	:	US
Telephone Number	:	847-681-8947
Fax Number	:	866-828-0028

Provider Business Practice Location Address
First Line	:	2715 KELLY LN
Second Line	:
City	:	HIGHLAND PARK
State	:	IL
Zip	:	60035-1656
Country	:	US
Telephone Number	:	847-681-8947
Fax Number	:	866-828-0028

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOE M. GUPTA
Credential	:
Telephone Number	:	847-681-8947

Provider Enumeration Date	:	09/26/2012
Last Update Date	:	09/26/2012

Similar Medicare Providers

1437163359 — DR. STEPHEN A TRAGER DDS
Practice Location Address:

516 VISCHER FERRY RD
CLIFTON PARK, NY
12065-1656

Practice Phone: 518-371-2500
Practice Fax: 518-371-2501

1386728723 — CATHERINE M GORMAN SLP
Practice Location Address:

5620 W 85TH TER
OVERLAND PARK, KS
66207-1656

Practice Phone: 913-481-4527
Practice Fax:

1447391768 — ANTHONYS PHARMACY LLC
Practice Location Address:

341 BROAD AVE
PALISADES PARK, NJ
07650-1656

Practice Phone: 201-944-2720
Practice Fax: 201-944-9536

1760684500 — NICHOLAS JAMES CHAUVIN DDS PC
Practice Location Address:

516 VISCHER FERRY RD
CLIFTON PARK, NY
12065-1656

Practice Phone: 518-371-2500
Practice Fax:

1194225896 — ALEXANDRA SANCHEZ
Practice Location Address:

10303 97TH ST
OZONE PARK, NY
11417-1656

Practice Phone: 347-288-1744
Practice Fax:

1760041842 — BOGHOS YEDIKIAN PHARMD
Practice Location Address:

341 BROAD AVE
PALISADES PARK, NJ
07650-1656

Practice Phone: 201-944-2720
Practice Fax:

Directions to “SDG INC., ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.