Organization Active NPI

Khalil Foundation

  • Professional Counselor
  • Rockford, IL
National Provider Identifier
1770416596
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
KHALIL FOUNDATION
Practice address
1946 Daimler Rd
Rockford, IL 61112-1008
Phone
(815) 980-9416
NPI assigned
Jun 3, 2026
Organization subpart
Yes
Parent organization
KHALIL FOUNDATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Authorized official

Name
Mohsin Khan, MD
Title
Manager
Phone
(815) 980-9416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1946 Daimler Rd
Rockford, IL 61112-1008

Mailing address

1946 Daimler Rd
Rockford, IL 61112-1008

National Provider Directory

National Provider Directory
Tax ID family
Khalil Foundation2 organizations share this tax ID, including this one
Part of
Khalil Foundation

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1946 Daimler Rd
Rockford, IL 61112
Phone (815) 399-2600

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1780444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1770416596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1946 DAIMLER RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611121008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1946 DAIMLER RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611121008",
            "telephone_number": "815-980-9416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHALIL FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KHALIL FOUNDATION",
        "enumeration_date": "2026-06-03",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MOHSIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "815-980-9416",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.