Organization
KHALIL FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOOMAN KESHAVARZI (EXECUTIVE DIRECTOR)
(224) 622-3116
Entity
Organization
Contact information
Practice address
998 N LOMBARD RD, LOMBARD, IL 60148-1264
(630) 474-4414
(630) 230-3364
Mailing address
998 N LOMBARD RD, LOMBARD, IL 60148-1264
(630) 474-4414
(630) 230-3364
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
77379
CA
2084P0800X
Psychiatry Physician
Primary
A115077
CA
Other
Enumeration date
09/17/2015
Last updated
06/18/2026
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