# EMOPTI PN SERVICE CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578382065
- **Authorized official:** JEN WHALEN (DIRECTOR)
- **Authorized official phone:** (217) 737-3508

## Contact information

- **Practice address:** W57N14280 DOERR WAY STE 201, CEDARBURG, WI 53012-3108
- **Practice address phone:** (217) 737-3508
- **Mailing address:** PO BOX 7241, TACOMA, WA 98417-0241

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 10/10/2024
- **Last updated:** 04/08/2025