360 BODY WELLNESS INC – Internal Medicine Physician, NPI 1679024228

360 BODY WELLNESS INC is a healthcare provider. based in Glen carbon, Illinois. specializing in Internal Medicine Physician. The NPI Number for 360 BODY WELLNESS INC is 1679024228

Main info

Organization
Name
360 BODY WELLNESS INC
NPI
1679024228
Phone
(618) 288-3610
Address
3407 IL STATE ROUTE 157
Authorized Official
MR. PHILIP S DUDAK FAMILY NURSE PRACTITIONER FNP-C
Enumeration Date
19 October 2016
Last Update Date
19 October 2016
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:9State licenses:0Digital endpointsOther names

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Provider Addresses for 360 BODY WELLNESS INC

  • South State Route 157, Glen Carbon, Madison County, Illinois, 62026, United States

    GLEN CARBON, IL 62034

    Phone: (618) 288-3610

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62034)

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Frequently asked questions

What identifier follows 360 BODY WELLNESS INC across health systems?
The NPI 1679024228 uniquely identifies 360 BODY WELLNESS INC in U.S. healthcare data.
Should I treat 360 BODY WELLNESS INC as an active provider?
Patients and plans typically see 360 BODY WELLNESS INC as active in the national extract.
Which specialty label fits 360 BODY WELLNESS INC?
NPPES ties 360 BODY WELLNESS INC to Internal Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit 360 BODY WELLNESS INC in Glen Carbon, Illinois?
For routing, start with Glen Carbon, Illinois for 360 BODY WELLNESS INC, then verify phone and hours locally.
Why is information missing for 360 BODY WELLNESS INC?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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