# LEXINGTON PHYSICAL THERAPY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710011945
- **Authorized official:** AHMED TAHA MOHAMMED (PRESIDENT)
- **Authorized official phone:** (708) 257-3831

## Contact information

- **Practice address:** 13810 CICERO AVE, SUITE F, CRESTWOOD, IL 60445-1827
- **Practice address phone:** (708) 257-3831
- **Mailing address:** PO BOX 1354, BEDFORD PARK, IL 60499-1354
- **Mailing address phone:** (708) 257-3831
- **Mailing address fax:** (708) 599-1345

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 070007027 | IL | Yes |

## Other

- **Enumeration date:** 03/16/2007
- **Last updated:** 09/20/2011