| Khalil Foundation | |
|
7601 S Kostner Ave Suite 206 Chicago IL 60652-1126 | |
| (855) 554-2545 | |
| Not Available |
| Full Name | Khalil Foundation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7601 S Kostner Ave, Chicago, Illinois |
| Authorized Official Name and Position | Fahad Khan (DEPUTY DIRECTOR) |
| Authorized Official Contact | 6304744414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Khalil Foundation 999 N Main St Suite 103 Glen Ellyn IL 60137-3581 Ph: (630) 474-4414 | Khalil Foundation 7601 S Kostner Ave Suite 206 Chicago IL 60652-1126 Ph: (855) 554-2545 |
| NPI Number | 1407392160 |
|---|---|
| Provider Enumeration Date | 01/18/2017 |
| Last Update Date | 01/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407392160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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