Takala B Fomond, LPN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

041.595283 Issued in IL

Practice address

9150 Crawford Ave # L1
Skokie, IL 60076-1700

Phone

(224) 420-6894

NPI assigned

Mar 15, 2022

Last updated

Dec 9, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• TBF Diagnostic Inc

  dba TBF Diagnostic

  • Clinical Medical Laboratory
  • Skokie, IL
  • NPI 1083375893

  Licensed Practical Nurse

  NPD Authorized official
• TBF Care Services Inc

  • Homemaker
  • Skokie, IL
  • NPI 1689358392
  Authorized official Same address or phone
• TBF Home Health Agency

  • Nursing Care Agency
  • Skokie, IL
  • NPI 1730952813

  Licensed Practical Nurse

  NPD (past) Authorized official
• TBF Home Health LLC

  • Home Health Agency
  • Skokie, IL
  • NPI 1285407163
  Authorized official Same address or phone

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1215685565",
    "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": "224-420-6894"
        },
        {
            "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": "224-420-6894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOMOND",
        "first_name": "TAKALA",
        "middle_name": "B",
        "name_prefix": "Miss",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.595283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Flynn
• Focus MD Group LLC
• Focused and Balance Life Therapy PLLC
• Edward Joseph Folkman, RPH
• Temitope Folu-Oso
• Jennifer J Fox Morhart, MPT
• Aliza Fox, MHS, CCC-SLP
• Cassandra Fox, RN
• Lisa Gay Fox, MSW, LCSW
• Inbal Fraiman, MA, OTR/L

• Registered Nurse in Skokie, IL
• Providers in Skokie, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.