360 Body Wellness Inc

LBN: 360 Body Wellness Inc
360 Body Wellness Inc is an health care organization with primary practice located at 3407 Il State Route 157 , Glen Carbon IL 62034. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. 360 Body Wellness Inc can be contacted via phone (618) 288-3610, or through Dudak, Philip S via phone (314) 753-2233.

Contact Information

Primary practice address
3407 Il State Route 157 Glen Carbon IL 62034
Phone: (618) 288-3610
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dudak, Philip S FNP-C
Phone: (314) 753-2233

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1679024228
LBN Legal business name 360 Body Wellness Inc
DBA Doing business as
Authorized official Dudak, Philip S FNP-C
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2016
Last updated Oct 19th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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