TYIESHA WILSON
NPI 1891455168
Pathology - Clinical Laboratory Director, Non-physician in Chicago, IL

Q: What is Tyiesha Wilson's NPI number?

The NPI number for Tyiesha Wilson is 1891455168. It was assigned to this individual provider in the NPPES registry on December 28, 2021.

Q: What is Tyiesha Wilson's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Laboratory Director, Non-physician, with taxonomy code 247ZC0005X.

Q: When was this NPI record last updated?

The NPPES record for Tyiesha Wilson was last updated on December 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 28, 2021

2800 W LAKE ST, CHICAGO, IL 60612(773) 999-6071 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Tyiesha Wilson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYIESHA WILSON (NPI 1891455168) is an individual clinical laboratory director, non-physician in Chicago, Illinois and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1891455168

Entity TypeIndividualFemale

Primary Taxonomy247ZC0005X

Provider Legal NameTYIESHA WILSON

Location Address2800 W LAKE STChicago, IL 60612-1908

Mailing Address1440 W Taylor St # 1105Chicago, IL 60607-4623

Phone(773) 999-6071

Sole ProprietorNo

Enumeration DateDecember 28, 2021

NPPES CertifiedDecember 28, 2021

✔ NPI 1891455168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Clinical Laboratory Director, Non-physicianTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code247ZC0005X

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.

2800 W LAKE ST, Chicago, IL 60612

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ACE CLINICAL EXPERTS LLC

Clinic/Center (Health Service)

2800 W LAKE ST
CHICAGO, IL 60612

Cook County (773) 999-6071

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyiesha Wilson's NPI number?

The NPI number for Tyiesha Wilson is 1891455168. It was assigned to this individual provider in the NPPES registry on December 28, 2021.

Where is Tyiesha Wilson located?

Tyiesha Wilson practices at 2800 W Lake St, Chicago, IL 60612. The listed phone number is (773) 999-6071.

What is Tyiesha Wilson's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Laboratory Director, Non-physician, with taxonomy code 247ZC0005X.

When was this NPI record last updated?

The NPPES record for Tyiesha Wilson was last updated on December 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.