Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ryan Clark

Individual provider Registered Dietitian · NPI 1205704293

Ryan Clark is a Registered Dietitian in LA Grange, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025

Practice location Address checks out

5101 Willow Springs Rd
LA Grange, IL 60525-2600
Phone: (708) 245-3751
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 164008740 (IL)

Record details

NPI number1205704293
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 29, 2025
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025
Mailing address4700 Belmont Rd, Downers Grove, IL 60515-3220

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