Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYIESHA WILSON
Active247ZC0005X · CHICAGO, IL
Registration Details
- NPI Number
- 1891455168
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 28, 2021 (4.3170819844439 yrs)
- Last Updated
- Dec 28, 2021
Practice Information
- Address
-
2800 W LAKE STCHICAGO, IL, 606121908Browse IL providers · Browse ZIP 60612
- Phone
- 7739996071
- Primary Specialty
-
247ZC0005X
247ZC0005X
Other 247ZC0005X Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| CHAO QI | PHD | 1972946812 |
| DEANNA FRANKE | PHD, DABCC | 1740687482 |
| DR. NICHOLAS M MOORE | PHD | 1073017679 |
| DR. MADINA SUKHANOVA | PHD | 1629575972 |
| STEVEN ABU SHAQRA | DOCTOR, PHD | 1144816356 |
| SHALANDA LEWIS | — | 1134888480 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.