Active NPI
Khalil Foundation
- Psychiatry Physician
- Lombard, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A115077
- Legal business name
- KHALIL FOUNDATION
- Practice address
- 998 N Lombard Rd
Lombard, IL 60148-1264 - Phone
- (630) 474-4414
- Fax
- (630) 230-3364
- NPI assigned
- Sep 17, 2015
- Last updated
- Oct 26, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hooman Keshavarzi
- Title
- Executive Director
- Phone
- (224) 622-3116
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 77379 | CA | |
| Psychiatry Physician | 2084P0800X | A115077 | CA | Primary |
Addresses
Primary practice location
998 N Lombard Rd
Lombard, IL 60148-1264
Mailing address
998 N Lombard Rd
Lombard, IL 60148-1264
Phone (630) 474-4414
Other practice location 1
1946 Daimler Rd
Rockford, IL 61112-1008
Phone (630) 474-4414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9836 White Oak Ave
Ste 101
Northridge, CA 91325
Phone (714) 514-4006
3033 Scott Blvd
Santa Clara, CA 95054
998 N Lombard Rd
Lombard, IL 60148
Phone (630) 474-4414
4 W 43rd St
Ste 520
New York, NY 10036
Phone (855) 544-2545
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychologist
- Roselle, IL
- NPI 1932449675
-
- Nurse Practitioner
- Champaign, IL
- NPI 1457698169
-
- Social Worker
- Orland Park, IL
- NPI 1174257893
-
- Clinical Psychologist
- Lombard, IL
- NPI 1538497441
-
- Clinical Psychologist
- Lombard, IL
- NPI 1649514266
-
- Pastoral Counselor
- Northridge, CA
- NPI 1467317115
-
- Marriage & Family Therapist
- San Jose, CA
- NPI 1912034729
-
- Mental Health Counselor
- Northridge, CA
- NPI 1871471367
-
- School Social Worker
- Escondido, CA
- NPI 1154452134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442448000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792972800000",
"number": "1407225709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "998 N LOMBARD RD",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601481264",
"telephone_number": "630-474-4414",
"fax_number": "630-230-3364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "998 N LOMBARD RD",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601481264",
"telephone_number": "630-474-4414",
"fax_number": "630-230-3364"
}
],
"practiceLocations": [
{
"address_1": "1946 Daimler Rd",
"address_purpose": "LOCATION",
"city": "Rockford",
"state": "IL",
"postal_code": "611121008",
"country_code": "US",
"telephone_number": "630-474-4414",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KHALIL FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-17",
"last_updated": "2026-10-26",
"certification_date": "2026-10-26",
"status": "A",
"authorized_official_last_name": "KESHAVARZI",
"authorized_official_first_name": "HOOMAN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "224-622-3116"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "77379",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A115077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lombard, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.