KHALIL FOUNDATION (NPI# 1235684564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235684564 |
| Entity Type | Organization |
| Organization Name | KHALIL FOUNDATION |
| Practice Address |
500 W Central Rd Suite 200 Mount Prospect IL 60056-2347 |
| Mailing Address |
999 N Main St Suite 103 Glen Ellyn IL 60137-3581 |
| Practice Telephone | 6303620021 |
| Mailing Telephone | 6304744414 |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2016-08-16 |
| Authorized Official Name | DR. FAHAD KHAN (DEPUTY DIRECTOR) |
| Authorized Official Telephone | 6303620021 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407225709 | Khalil Foundation | Marriage & Family Therapist | 3033 Scott Blvd, Santa Clara, CA 95054-3316 | 2015-09-17 |
| 1407392160 | Khalil Foundation | Community/Behavioral Health | 7601 S Kostner Ave, Suite 206, Chicago, IL 60652-1126 | 2017-01-18 |
| 1619420320 | Khalil Foundation | Community/Behavioral Health | 2501 W Lawrence Ave, Suite C, Chicago, IL 60625-2958 | 2016-07-28 |
| 1366891012 | Khalil Foundation | Community/Behavioral Health | 6501 N Lincoln Ave, Lincolnwood, IL 60712-3925 | 2016-06-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | KHALIL FOUNDATION | 998 N Lombard Rd, Lombard, Illinois 60148 |
| System for Award Management (SAM) Entities | KHALIL FOUNDATION | 998 N Lombard Rd, Lombard, IL 60148-1264 |
| Street Address |
500 W CENTRAL RD SUITE 200 |
| City | MOUNT PROSPECT |
| State | IL |
| Zip Code | 60056-2347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336577741 | Jamie Lopez | Nurse Practitioner | 500 W Central Rd, Mount Prospect, IL 60056-2347 | 2013-10-22 |
| 1447688080 | Sports Medical Services, S.c. | Physical Medicine & Rehabilitation | 500 W Central Rd, Ste. 103, Mount Prospect, IL 60056-2347 | 2013-10-16 |
| 1902178742 | Lina Liu | Psychologist | 500 W Central Rd, Ste 104, Mount Prospect, IL 60056-2380 | 2012-02-08 |
| 1679852859 | Patrick Mckee | Counselor | 500 W Central Rd, Suite 104, Mount Prospect, IL 60056-2347 | 2011-08-05 |
| 1447558531 | Racquel Valencia Hays | Social Worker | 500 W Central Rd, Suite 104, Mount Prospect, IL 60056-2347 | 2011-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023649829 | Blocki and Bashford Dental, LLC | Dentist | 200 E. Evergreen, Suite 129, Mt. Prospect, IL 60056 | 2020-01-30 |
| 1740745934 | Luminate Therapy Group of Illinois, LLC | Behavioral Analyst | 580 Slawin Court, Mt. Prospect, IL 60056 | 2019-02-01 |
| 1952884009 | Erin Kathleen Neal | Social Worker | 1550 Bishop Court, Mount Prospect, IL 60056 | 2018-09-13 |
| 1215431028 | Teandra Gelemer Delancy | Social Worker | Kenneth Young Center, 1585 West Dempster St, Mt. Prospect, IL 60056 | 2018-03-19 |
| 1578071650 | Azk Transportation Inc | Non-emergency Medical Transport (VAN) | 415 E Prospect Ave, 3c, Mount Prospect, IL 60056 | 2018-01-11 |
| 1275059859 | Sara Tyburski | Psychologist | 701 W Gregory, Mount Prospect, IL 60056 | 2017-08-16 |
| 1487197257 | Roma R D'silva | General Practice | 608 South Noah Terrace, Mount Prospect, IL 60056 | 2016-11-29 |
| 1568918159 | Georgeshia Norwood | Social Worker | 1820 West Dempster, Mount Prospect, IL 60056 | 2016-09-01 |
| 1568919025 | Scott G Smoron Dds Msd Ltd | Dentist | 421 W. Prospect Ave., Mount Prospect, IL 60056 | 2016-09-01 |
| 1568918365 | Kathleen Huttner | Counselor | 1820 W. Dempser, Kenneth Young Center, Mount Prospect, IL 60056 | 2016-08-31 |
| Find all providers in zip 60056 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841664588 | Mark Parisi and Associates, PC | Community/Behavioral Health | 800 E Northwest Hwy, Suite106, Mount Prospect, IL 60056-3457 | 2015-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820648 | Community Wellness Group | Community/Behavioral Health | 635 Argyle Ave, Flossmoor, IL 60422-1201 | 2020-10-26 |
| 1437758711 | Gina Baldacci, Lcsw, LLC | Community/Behavioral Health | 231 Longridge Dr, Bloomingdale, IL 60108 | 2020-10-19 |
| 1790383610 | Joni Lamb Therapy, LLC | Community/Behavioral Health | 1555 Sherman Ave # 308, Evanston, IL 60201-4421 | 2020-10-13 |
| 1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
| 1942817150 | Pacem Wellness, LLC | Community/Behavioral Health | 8 Eagle Ctr Ste 12, O Fallon, IL 62269-1947 | 2020-09-30 |
| 1831703271 | Boules Clinical Psychology Group | Community/Behavioral Health | 200 S Frontage Rd Ste 324, Burr Ridge, IL 60527-6953 | 2020-09-02 |
| 1336753896 | Counseling Kennedy Shenberg | Community/Behavioral Health | 5752 N Campbell Ave Apt 1, Chicago, IL 60659-5080 | 2020-09-02 |
| 1265045371 | Brightside Recovery | Community/Behavioral Health | 1667 Belvidere Rd, Belvidere, IL 61008-9306 | 2020-08-28 |
| 1902419021 | Brightside Recovery | Community/Behavioral Health | 8041 186th St Ste B, Tinley Park, IL 60487-9344 | 2020-08-28 |
| 1700498573 | Bobby E. Wright Comprehensive Behavioral Health Center, Inc. | Community/Behavioral Health | 5816 W Division St Fl 1, Chicago, IL 60651-1003 | 2020-08-21 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT PROSPECT |
| Zip Code | 60056 |
Please comment or provide details below to improve the information on KHALIL FOUNDATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.