Tyiesha Wilson is a clinical laboratory director and non-physician pathology in Chicago, IL. The provider is an individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. Tyiesha Wilson NPI is 1891455168. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
2800 W LAKE ST
CHICAGO, IL
ZIP 60612-908
Phone: (773) 999-6071
The enumeration date for this NPI number is 12/28/2021 and was last updated on 12/28/2021.