Organization · Type 2 NPI

Wild Table PLLC

Registered Dietitian · Chicago, IL

NPI number 1174327209 Active

Practice location

740 N Ogden Ave Apt 4
Chicago, IL 60642-7063

Call (608) 438-1612 Map

Mailing address

1842 N Albany Ave
Chicago, IL 60647-5073

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XNone listed

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

Another provider at this address

Other registered dietitian providers in Chicago

See all in Chicago →

About NPI 1174327209

Wild Table PLLC's National Provider Identifier is 1174327209, issued on Apr 1, 2025. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Chicago, IL. The record was last updated on Apr 1, 2025.