Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

360 Body Wellness Inc

Organization Internal Medicine Physician · NPI 1679024228

360 Body Wellness Inc is an Internal Medicine Physician in Glen Carbon, Illinois. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3407 Il State Route 157
Glen Carbon, IL 62034
Phone: (618) 288-3610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1679024228
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Philip Dudak — Family Nurse Practitioner · (314) 753-2233
NPI enumeratedOctober 19, 2016
Last updated in NPPESOctober 19, 2016
Mailing address3407 Il State Route 157, Glen Carbon, IL 62034

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