Olivia N Tisckos is a student in an organized health care education training program in Springfield, IL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Olivia N Tisckos NPI is 1154065670. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
239 YEOMAN DR
SPRINGFIELD, IL
ZIP 62704-246
Phone: (217) 971-0937
The enumeration date for this NPI number is 4/21/2022 and was last updated on 4/21/2022.