TBF Diagnostic Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

TBF DIAGNOSTIC INC

Practice address

9150 Crawford Ave # L1
Skokie, IL 60076-1700

Phone

(224) 999-7624

NPI assigned

Jan 4, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Takala FomondNPI 1215685565

Title

Owner

Phone

(224) 420-6894

Specialties & licenses 3

Addresses

Other names 2

• TBF DIAGNOSTIC Doing business as
• TBF DIAGNOSTIC INC Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Takala B Fomond, LPN

  • Registered Nurse
  • Skokie, IL
  • NPI 1215685565

  Licensed Practical Nurse

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766016000000",
    "number": "1083375893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 CENTRAL ST # 2A",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011212",
            "telephone_number": "224-999-7624",
            "fax_number": "847-589-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 CRAWFORD AVE # L1",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761700",
            "telephone_number": "224-999-7624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TBF DIAGNOSTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-04",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A",
        "authorized_official_last_name": "FOMOND",
        "authorized_official_first_name": "TAKALA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-420-6894"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TBF DIAGNOSTIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TBF DIAGNOSTIC INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TBF DIAGNOSTIC INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Daniel Tatar, OD
• Breanne Taylor, MA
• Stacey L Taylor, DPT
• Valery Taylor
• TBF Care Services Inc
• TBF Home Health Agency
• TBF Home Health LLC
• TCM Chiropractic Clinic
• Marie Febra Claire E Te, PT
• Caroline Kenerson Tebbens, LPC, NCC

• Clinical Medical Laboratory in Skokie, IL
• Providers in Skokie, IL by specialty
• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.