Provider Demographics
NPI:1194066464
Name:THE EMPEROR'S MEDICINE LLC
Entity type:Organization
Organization Name:THE EMPEROR'S MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SELMA
Authorized Official - Middle Name:SELENA
Authorized Official - Last Name:GLADNEY
Authorized Official - Suffix:
Authorized Official - Credentials:MSOM, LMT
Authorized Official - Phone:630-428-9001
Mailing Address - Street 1:932 N WRIGHT ST STE 160
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-3601
Mailing Address - Country:US
Mailing Address - Phone:630-428-9001
Mailing Address - Fax:630-428-9006
Practice Address - Street 1:932 N WRIGHT ST
Practice Address - Street 2:SUITE 120
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-3600
Practice Address - Country:US
Practice Address - Phone:630-428-9001
Practice Address - Fax:630-428-9006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-11
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty