Wilson, Tyiesha

Wilson, Tyiesha is an individual health care provider with primary practice located at 2800 W Lake St , Chicago IL 60612-1908. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Clinical Laboratory Director, Non-physician, which is considered as her primary health care specialty. Wilson, Tyiesha can be contacted via phone (773) 999-6071.

Contact Information

Primary practice address
2800 W Lake St Chicago IL 60612-1908
Phone: (773) 999-6071
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Clinical Laboratory Director, Non-physician 247ZC0005X

Profile Details

NPI number 1891455168
LBN Legal business name Wilson, Tyiesha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2021
Last updated Dec 28th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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