Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lakimiyion Waller

Individual provider Licensed Practical Nurse · NPI 1104568948

Lakimiyion Waller is a Licensed Practical Nurse in Oak Forest, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2022
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Practice location Address checks out

15737 Terrace Dr Apt 1BL
Oak Forest, IL 60452-5190
Phone: (773) 308-4653
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Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 043112709 (IL)

Record details

NPI number1104568948
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 12, 2022
Last updated in NPPESApril 12, 2022
Certification dateApril 12, 2022
Mailing address15737 Terrace Dr Apt 1bl, Oak Forest, IL 60452-5190

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