Individual
TYIESHA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 W LAKE ST, CHICAGO, IL 60612-1908
(773) 999-6071
Mailing address
1440 W TAYLOR ST # 1105, CHICAGO, IL 60607-4623
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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