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Miss Takala B Fomond, LPN
Licensed Practical Nurse in Evanston, Illinois
NPI 1215685565

Takala B Fomond is a Licensed Practical Nurse based in Evanston, IL. Takala B Fomond practices in Evanston, IL and has the professional credentials of LPN. The NPI Number for Takala B Fomond is 1215685565 and holds a License No. 043.117753 (Illinois).

The current practice location address for Takala B Fomond is 2916 Central St # 2, Evanston, IL and can be reached out via phone at 224-420-6894.

Location: 2916 Central St # 2, Evanston, IL, 60201-1212
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215685565
Provider Name
Takala B Fomond
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
2916 Central St # 2, Evanston, IL, 60201-1212
Phone Number
224-420-6894
Fax Number
Provider Enumeration Date
03/15/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2916 Central St # 2
City
Evanston
State
Illinois
Zip
60201-1212
Phone Number
224-420-6894
Fax Number
person
Provider Business Mailing Address Details
Address
2916 Central St # 2
City
Evanston
State
Illinois
Zip
60201-1212
Phone Number
224-420-6894
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
043.117753 (Illinois)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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