MISS TAKALA B FOMOND LPN
NPI 1215685565
Registered Nurse in Skokie, IL

Active since March 15, 2022
9150 CRAWFORD AVE # L1, SKOKIE, IL 60076(224) 420-6894 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 9, 2025, Nov 2, 2023 (2 updates tracked since 2023).

About Miss Takala B Fomond Lpn NPPES

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

MISS TAKALA B FOMOND LPN (NPI 1215685565) is an individual registered nurse in Skokie, Illinois, licensed in Illinois (041.595283) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1215685565
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameMISS TAKALA B FOMONDCredential: LPN
Location Address9150 CRAWFORD AVE # L1Skokie, IL 60076-1700
Mailing Address2916 Central St # 2aEvanston, IL 60201-1212 · (224) 420-6894
Sole ProprietorNo
Enumeration DateMarch 15, 2022
Last NPPES UpdateDecember 9, 20252 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
NPI 1215685565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License Licensed in IL · 041.595283
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
9150 CRAWFORD AVE # L1, Skokie, IL 60076

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinical Medical Laboratory
9150 CRAWFORD AVE # L1
SKOKIE, IL 60076
Home Health
9150 CRAWFORD AVE # L1
SKOKIE, IL 60076
Homemaker
9150 CRAWFORD AVE # L1
SKOKIE, IL 60076
Nursing Care
9150 CRAWFORD AVE # L1
SKOKIE, IL 60076

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 Takala Fomond's NPI number?

The NPI number for Takala Fomond is 1215685565. It was assigned to this individual provider in the NPPES registry on March 15, 2022.

Where is Takala Fomond located?

Takala Fomond practices at 9150 Crawford Ave # L1, Skokie, IL 60076. The listed phone number is (224) 420-6894.

What is Takala Fomond's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Takala Fomond was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.