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360 BODY WELLNESS INC
NPI 1679024228
Internal Medicine in Glen Carbon, IL

Active since October 19, 2016
3407 IL STATE ROUTE 157, GLEN CARBON, IL 62034(618) 288-3610 Get Directions Write a Review

NPPES record last updated: October 19, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About 360 Body Wellness Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

360 BODY WELLNESS INC (NPI 1679024228) is a healthcare organization registered as an internal medicine in Glen Carbon, Illinois and active in the NPI registry since October 2016. The organization lists Philip S Dudak, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1679024228
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business Name360 BODY WELLNESS INC
Location Address3407 IL STATE ROUTE 157Glen Carbon, IL 62034
Mailing Address3407 Il State Route 157Glen Carbon, IL 62034 · (618) 288-3610
Phone(618) 288-3610
Organization SubpartNo
Authorized OfficialPhilip S DudakFamily Nurse Practitioner · (314) 753-2233
Enumeration DateOctober 19, 2016
✔ NPI 1679024228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3407 IL STATE ROUTE 157, Glen Carbon, IL 62034
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 360 Body Wellness Inc's NPI number?

The NPI number for 360 Body Wellness Inc is 1679024228. It was assigned to this organization in the NPPES registry on October 19, 2016.

Where is 360 Body Wellness Inc located?

360 Body Wellness Inc is located at 3407 Il State Route 157, Glen Carbon, IL 62034. The listed phone number is (618) 288-3610.

What is 360 Body Wellness Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for 360 Body Wellness Inc was last updated on October 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.