Ryan Mark Tishka

NPI #1134897341 in Mokena, Illinois

Provider Information

NPI Number
1134897341
Entity Type
Individual
Name
Ryan Mark Tishka
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Enumeration Date
Sep 1, 2021
Last Updated
Sep 1, 2021

Practice Location

Address
12047 BLACKTHORNE RIDGE DR
City
Mokena
ZIP Code
60448-8112
Phone
(815) 483-6276

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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