OLIVIA N TISCKOS

NORMAL, IL
NPI1154065670
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096005607)
Enumeration Date2022-04-21
Last Update Date2025-06-18
Business Address
OLIVIA N TISCKOS
1122 WEST AVE APT 1
NORMAL, IL 61761-3472
Phone number: 217-971-0937
Mailing Address
OLIVIA N TISCKOS
239 YEOMAN DR
SPRINGFIELD, IL 62704-5246
Phone number: 217-971-0937
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