360 MEDICAL GROUP ILLINOIS P.C.

NPI 1578488755 Active Family Medicine

Quick Facts

NPI Number

1578488755

Type

Organization (NPI-2)

Status

Active

Enumeration Date

2026-08-13

Last Updated (NPPES)

2026-08-13

Primary Specialty / Taxonomy

Taxonomy	Family Medicine
Taxonomy Code	`207Q00000X`

Practice Address

31 W DUNDEE RD
WHEELING, IL 600904863

Phone: 833-360-6338

Mailing Address

2501 CHATHAM RD STE N
SPRINGFIELD, IL 627044188

Data sourced live from the CMS NPPES NPI Registry (npiregistry.cms.hhs.gov) and cached locally. This is a public directory lookup, not a credentialing or verification service — confirm critical details directly with NPPES or the provider.