Individual provider · Type 1 NPI

Ryan Clark

Registered Dietitian · La Grange, IL

NPI number 1205704293 Active

Practice location

5101 Willow Springs Rd
La Grange, IL 60525-2600

Mailing address

4700 Belmont Rd
Downers Grove, IL 60515-3220

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X164008740 (IL)

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…

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About NPI 1205704293

Ryan Clark's National Provider Identifier is 1205704293, issued on Oct 29, 2025. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in La Grange, IL. The record was last updated on Oct 29, 2025.