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LAKIMIYION WALLER
NPI 1104568948
Licensed Practical Nurse in Oak Forest, IL

Active since April 12, 2022
15737 TERRACE DR APT 1BL, OAK FOREST, IL 60452(773) 308-4653 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lakimiyion Waller NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKIMIYION WALLER (NPI 1104568948) is an individual licensed practical nurse in Oak Forest, Illinois, licensed in Illinois (043112709) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1104568948
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameLAKIMIYION WALLER
Location Address15737 TERRACE DR APT 1BLOak Forest, IL 60452-5190
Mailing Address15737 Terrace Dr Apt 1blOak Forest, IL 60452-5190 · (773) 308-4653
Phone(773) 308-4653
Sole ProprietorYes
Enumeration DateApril 12, 2022
NPPES CertifiedApril 12, 2022
✔ NPI 1104568948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in IL · 043112709
Definition
A licensed practical nurse 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.
15737 TERRACE DR APT 1BL, Oak Forest, IL 60452
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakimiyion Waller's NPI number?

The NPI number for Lakimiyion Waller is 1104568948. It was assigned to this individual provider in the NPPES registry on April 12, 2022.

Where is Lakimiyion Waller located?

Lakimiyion Waller practices at 15737 Terrace Dr Apt 1bl, Oak Forest, IL 60452. The listed phone number is (773) 308-4653.

What is Lakimiyion Waller's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Lakimiyion Waller was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.