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NPI Verification

National Provider Identifier: 1679024228

360 Body Wellness INC

Organization

Primary Specialty

Internal Medicine

Code: 207R00000X

Practice Address

3407 IL STATE ROUTE 157

GLEN CARBON, IL 62034

Phone: 618-288-3610

NPI Enumeration Date

October 19, 2016

NPI Number

1679024228

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry