Wild Table PLLC
Wild Table PLLC is a Registered Dietitian in Chicago, Illinois. Registered with an NPI since 2025.
- In the registry since
- 2025
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
740 N Ogden Ave Apt 4Chicago, IL 60642-7063
Phone: (608) 438-1612
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Dietitian (primary) | Taxonomy 133V00000X |
|---|
Record details
| NPI number | 1174327209 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ingrid Clark — Registered Dietitian · (608) 438-1612 |
| NPI enumerated | April 1, 2025 |
| Last updated in NPPES | April 1, 2025 |
| Certification date | April 1, 2025 |
| Mailing address | 1842 N Albany Ave, Chicago, IL 60647-5073 |
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