| Miss Takala B Fomond, LPN | |
|
2916 Central St # 2, Evanston, IL 60201-1212 | |
| (224) 420-6894 | |
| Not Available |
| Full Name | Miss Takala B Fomond |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 2916 Central St # 2, Evanston, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215685565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 043.117753 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Takala B Fomond, LPN 2916 Central St # 2a, Evanston, IL 60201-1212 Ph: (224) 420-6894 | Miss Takala B Fomond, LPN 2916 Central St # 2, Evanston, IL 60201-1212 Ph: (224) 420-6894 |
News Archive
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› Verified 8 days ago
Preetha Andrews, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1942 Dempster St, Evanston, IL 60202 Phone: 847-688-1900 Fax: 847-869-7392 | |
Brandi Summers, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1942 Dempster St, Evanston, IL 60202 Phone: 847-688-1900 | |
Lillian Brown, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1029 Howard St Ste 303, Evanston, IL 60202 Phone: 847-869-1808 | |
Martha Iris Montanez, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1942 Dempster St, Evanston, IL 60202 Phone: 847-688-1900 Fax: 847-869-7392 | |
Mrs. Mary Grace Briggs Ponte, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1942 Dempster St, Evanston, IL 60202 Phone: 847-688-1900 Fax: 847-869-7392 |