Active NPI
Khalil Foundation
- Professional Counselor
- Rockford, IL
National Provider Identifier
1770416596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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 FOUNDATION
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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 Foundation
- Part of
- Khalil Foundation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Psychologist
- Rockford, IL
- NPI 1477414662
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.