Organization
TBF DIAGNOSTIC INC
Active
Organization
TBF DIAGNOSTIC INC
Active
Other names
TBF DIAGNOSTIC, TBF DIAGNOSTIC INC
Organization subpart
No
Provider details
NPI number
Authorized official
TAKALA FOMOND (OWNER)
(224) 420-6894
Entity
Organization
Contact information
Practice address
9150 CRAWFORD AVE # L1, SKOKIE, IL 60076-1700
(224) 999-7624
Mailing address
2916 CENTRAL ST # 2A, EVANSTON, IL 60201-1212
(224) 999-7624
(847) 589-5944
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
—
—
261Q00000X
Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/04/2022
Last updated
12/18/2025
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