Search › Illinois › 101YP2500X
Tisha Micko
NPI 1972380103 · on the registry since 2023
Practice
- Address
- 624 Oak Hill Dr
Belleville, IL 62223 - Phone
- (314) 532-5202
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-12-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois