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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