Organization
ALEX TOTAL WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED MOHAMED MSPT (PRESIDENT)
(708) 599-1661
Entity
Organization
Contact information
Practice address
13810 CICERO AVE, SUITE F, CRESTWOOD, IL 60445-1827
(708) 396-1662
(708) 396-1662
Mailing address
PO BOX 1354, BEDFORD PARK, IL 60499-1354
(708) 599-1661
(708) 599-1345
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1634289
BCBS
IL
Enumeration date
11/01/2006
Last updated
07/21/2022
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