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Olivia N Tisckos
Student in an Organized Health Care Education/Training Program in Springfield, Illinois
NPI 1154065670

Olivia N Tisckos is a Student in an Organized Health Care Education/Training Program based in Springfield, IL. Olivia N Tisckos practices in Springfield, IL. The NPI Number for Olivia N Tisckos is 1154065670 and holds a License No. (Illinois).

The current practice location address for Olivia N Tisckos is 239 Yeoman Dr, Springfield, IL and can be reached out via phone at 217-971-0937.

Location: 239 Yeoman Dr, Springfield, IL, 62704-5246
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154065670
Provider Name
Olivia N Tisckos
Credential
Provider Entity Type
Individual
Gender
Female
Address
239 Yeoman Dr, Springfield, IL, 62704-5246
Phone Number
217-971-0937
Fax Number
Provider Enumeration Date
04/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
239 Yeoman Dr
City
Springfield
State
Illinois
Zip
62704-5246
Phone Number
217-971-0937
Fax Number
person
Provider Business Mailing Address Details
Address
239 Yeoman Dr
City
Springfield
State
Illinois
Zip
62704-5246
Phone Number
217-971-0937
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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.
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