Healthcare Provider Details

I. General information

NPI: 1609791011
Provider Name (Legal Business Name): TAHSEEN KHALEEL MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 S HIGHLAND AVE STE 350
LOMBARD IL
60148-7129
US

IV. Provider business mailing address

105 LIVERY CIR
OAK BROOK IL
60523-2537
US

V. Phone/Fax

Practice location:
  • Phone: 630-449-9486
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: TAHSEEN KHALEEL
Title or Position: PHYSICIAN/PEDIATRICIAN
Credential: MD
Phone: 630-449-9486