person
Tyiesha Wilson
Clinical Laboratory Director (Non-physician) in Chicago, Illinois
NPI 1891455168

Tyiesha Wilson is a Clinical Laboratory Director (Non-physician) based in Chicago, IL and is specialized in Clinical Laboratory Director, Non-physician. Tyiesha Wilson practices in Chicago, IL. The NPI Number for Tyiesha Wilson is 1891455168 and holds a License No. (Illinois).

The current practice location address for Tyiesha Wilson is 2800 W Lake St, Chicago, IL and can be reached out via phone at 773-999-6071. You can also correspond with Tyiesha Wilson through the mailing address at 1440 W TAYLOR ST # 1105, CHICAGO, IL - 60607-4623 (mailing address contact number: ).

Location: 2800 W Lake St, Chicago, IL, 60607-4623
person
Provider Profile Details
NPI Number
1891455168
Provider Name
Tyiesha Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2800 W Lake St, Chicago, IL, 60607-4623
Phone Number
773-999-6071
Fax Number
Provider Enumeration Date
12/28/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2800 W Lake St
City
State
Zip
60612-1908
Phone Number
773-999-6071
Fax Number
person
Provider Business Mailing Address Details
Address
2800 W Lake St
City
State
Zip
60612-1908
Phone Number
773-999-6071
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Clinical Laboratory Director, Non-physician
Taxonomy
License No.
()
Definition
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.
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