Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ryan Mark Tishka

Individual provider Athletic Trainer · NPI 1134897341

Ryan Mark Tishka is an Athletic Trainer in Mokena, Illinois. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

12047 Blackthorne Ridge Dr
Mokena, IL 60448-8112
Phone: (815) 483-6276
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1134897341
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 1, 2021
Last updated in NPPESSeptember 1, 2021
Certification dateSeptember 1, 2021
Mailing address12047 Blackthorne Ridge Dr, Mokena, IL 60448-8112

Other providers in Mokena