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360 BODY WELLNESS INC — NPI 1679024228 – Denial Journal
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Organization

360 BODY WELLNESS INC

NPI 1679024228 Active Internal Medicine
Quick Facts
NPI Number
1679024228
Type
Organization (NPI-2)
Status
Active
Enumeration Date
2016-10-19
Last Updated (NPPES)
2016-10-19

Primary Specialty / Taxonomy

TaxonomyInternal Medicine
Taxonomy Code207R00000X

Practice Address

3407 IL STATE ROUTE 157
GLEN CARBON, IL 62034

Phone: 618-288-3610

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.

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