Organization Active NPI

Khalil Foundation

  • Psychiatry Physician
  • Lombard, IL
National Provider Identifier
1407225709
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A115077 Issued in CA
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Hooman KeshavarziNPI 1932449675
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)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 77379 CA
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200616002420 IL Part B Supplier - Clinic/Group Practice 4284056466 Receives reassigned benefits from 6 practitioners
Practice locations: Lombard, IL

National Provider Directory

National Provider Directory

Locations

9836 White Oak Ave
Ste 101
Northridge, CA 91325
Phone (747) 206-1509

3033 Scott Blvd
Santa Clara, CA 95054
Phone (630) 474-4414

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.

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": "1781740800000",
    "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": [],
    "basic": {
        "organization_name": "KHALIL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "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 Jun 18, 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.

Verify at the official NPI Registry.