KHALIL FOUNDATION (NPI# 1407392160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407392160 |
| Entity Type | Organization |
| Organization Name | KHALIL FOUNDATION |
| Practice Address |
7601 S Kostner Ave Suite 206 Chicago IL 60652-1126 |
| Mailing Address |
999 N Main St Suite 103 Glen Ellyn IL 60137-3581 |
| Practice Telephone | 8555542545 |
| Mailing Telephone | 6304744414 |
| Mailing Fax Number | 6302303364 |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2017-01-18 |
| Authorized Official Name | DR. FAHAD KHAN (DEPUTY DIRECTOR) |
| Authorized Official Telephone | 6304744414 |
| 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 |
| 1235684564 | Khalil Foundation | Community/Behavioral Health | 500 W Central Rd, Suite 200, Mount Prospect, IL 60056-2347 | 2016-08-16 |
| 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 |
7601 S KOSTNER AVE SUITE 206 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60652-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407808371 | Kathy J Webb | Occupational Therapist | 7601 S Kostner Ave, Suite 150, Chicago, IL 60652-1126 | 2006-05-17 |
| 1619535002 | Sergio Ayala | Counselor | 7601 S Kostner Ave, Chicago, IL 60652-1126 | 2019-05-31 |
| 1104325448 | Curtis Lee Slate | Counselor | 7601 S Kostner Ave, Chicago, IL 60652-1126 | 2018-02-01 |
| 1053776799 | Lutheran Child and Family Services of Illinois | Foster Care Agency | 7601 S Kostner Ave, Suite 308, Chicago, IL 60652-1126 | 2015-12-23 |
| 1669844627 | Leodis F Scott Sr. | Counselor | 7601 S Kostner Ave, Chicago, IL 60652-1126 | 2015-10-29 |
| 1407042591 | Maria L. Reyes, M.d., S.c. | Pediatrics | 7601 S Kostner Ave, Suite 209, Chicago, IL 60652-1126 | 2007-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861042715 | New Hope Community Service Center | Clinic/Center | New Hope Community Service Center, 2559 West 79th, Chicago, IL 60652 | 2019-09-12 |
| 1770012189 | Rachel Pasternak | Social Worker | 3348 W 87th Street, Chicago, IL 60652 | 2017-06-08 |
| 1437682283 | Manliu Yang | Dentist | 8541 S Cicero Ave, Chicago, IL 60652 | 2017-04-08 |
| 1336687144 | Stephanie J. Wilson | Registered Nurse | 7600 S. Pulask Rd., Chicago, IL 60652 | 2017-02-01 |
| 1346786811 | Talisha Moman | Licensed Practical Nurse | 7600 S. Pulaski Rd., Suite 1106, Chicago, IL 60652 | 2017-01-09 |
| 1952851933 | Yvonne Caldwell | Licensed Practical Nurse | 8600 S. Pulaski, Road, Chicago, IL 60652 | 2016-10-13 |
| 1942605795 | Brittney Mclean | Developmental Therapist | 4317 W. 77th Pl, Chicago, IL 60652 | 2014-10-22 |
| 1245599521 | Chisa Marie Collins | Occupational Therapist | 8008 S Albany, Chicago, IL 60652 | 2012-05-08 |
| 1548572969 | St. Mary Therapy Services | Clinic/Center | 2455 W 79th St, #101, Chicago, IL 60652 | 2010-07-14 |
| 1750574752 | Curt R Lang | Dentist | 4651 W 79th St, Suite 208, Chicago, IL 60652 | 2007-08-22 |
| Find all providers in zip 60652 | ||||
| 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 |
|---|---|---|---|---|
| 1336753896 | Counseling Kennedy Shenberg | Community/Behavioral Health | 5752 N Campbell Ave Apt 1, Chicago, IL 60659-5080 | 2020-09-02 |
| 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 |
| 1164030557 | Acorn & Oak Counseling Pllc | Community/Behavioral Health | 1333 W Devon Ave Ste 319, Chicago, IL 60660-1329 | 2020-07-21 |
| 1144848300 | Marathon Mindset Counseling LLC | Community/Behavioral Health | 1650 W Adams St Apt 304, Chicago, IL 60612-3209 | 2020-07-13 |
| 1417586678 | Invisions Behavioral Health LLC | Community/Behavioral Health | 8211 S Woodlawn Ave, Chicago, IL 60619-4519 | 2020-04-08 |
| 1871124784 | Nurture Therapy, LLC | Community/Behavioral Health | 3711 N Ravenswood Ave Ste 146, Chicago, IL 60613-5944 | 2020-01-29 |
| 1962032086 | Bucktown Therapy | Community/Behavioral Health | 1820 W Webster Ave Ste 200, Chicago, IL 60614-2934 | 2020-01-16 |
| 1770121436 | Guided Expressions LLC | Community/Behavioral Health | 6640 S University Ave Apt 2, Chicago, IL 60637-4320 | 2019-12-12 |
| 1063058279 | Y Not Families | Community/Behavioral Health | 6427 S Ashland Ave, Chicago, IL 60636-2716 | 2019-11-22 |
| 1073156196 | Black Tie Therapy | Community/Behavioral Health | 2232 N Wayne Ave Apt 1f, Chicago, IL 60614-8937 | 2019-10-21 |
| Find all providers in CHICAGO | ||||
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| 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.