Organization
KHALIL FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHSIN KHAN KHAN MD (OWNER/MANAGING PARTNER)
(815) 980-9416
Entity
Organization
Contact information
Practice address
1946 DAIMLER RD, ROCKFORD, IL 61112-1008
(855) 554-2545
Mailing address
998 N LOMBARD RD, LOMBARD, IL 60148-1264
(855) 554-2545
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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