Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tyiesha Wilson

Individual provider Clinical Laboratory Director (Non-physician) · NPI 1891455168

Tyiesha Wilson is a Clinical Laboratory Director (Non-physician) in Chicago, Illinois. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

2800 W Lake St
Chicago, IL 60612-1908
Phone: (773) 999-6071
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Laboratory Director (Non-physician) (primary) Taxonomy 247ZC0005X

Record details

NPI number1891455168
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 28, 2021
Last updated in NPPESDecember 28, 2021
Certification dateDecember 28, 2021
Mailing address1440 W Taylor St # 1105, Chicago, IL 60607-4623

Other providers in Chicago