Tyiesha Wilson - Chicago, IL

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.

Location: 2800 W Lake St, Chicago, IL, 60607-4623

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

Address

2800 W Lake St

City

Chicago

State

Illinois

Zip

60612-1908

Phone Number

773-999-6071

Fax Number

Address

2800 W Lake St

City

Chicago

State

Illinois

Zip

60612-1908

Phone Number

773-999-6071

Fax Number

Type

Technologists, Technicians & Other Technical Service Providers

Classification

Technician, Pathology

Speciality

Clinical Laboratory Director, Non-physician

Taxonomy

247ZC0005X

License No.

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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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