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360 Body Wellness Inc

Internal Medicine Physician in Glen Carbon, IL · enumerated 2016 · authorized official Philip Dudak, Family Nurse Practitioner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1679024228

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Registry record

Entity type Organization (Type 2)
Legal business name 360 Body Wellness Inc
Practice address 3407 Il State Route 157, Glen Carbon, IL, 62034
Enumeration date Oct 19, 2016
Last updated in NPPES Oct 19, 2016

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Philip Dudak
Title Family Nurse Practitioner

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for 360 Body Wellness Inc?
The NPI for 360 Body Wellness Inc is 1679024228, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for 360 Body Wellness Inc?
NPPES lists Philip Dudak (Family Nurse Practitioner) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-10-19.