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Active NPI 1356144489 Individual Practitioner Female Practitioner

Ingrid Clark , MS, RD, LDN

Dietitian, Registered • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Ingrid Clark, MS, RD, LDN is a registered healthcare professional specializing in Dietitian, Registered in Chicago, IL. Practice services are available at 740 N OGDEN AVE APT 4 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

740 N Ogden Ave Apt 4

Chicago, IL 606427063

Telephone 6084381612
Associated Practice Facility / Clinic
🏢 Wild Table Pllc Facility NPI 1174327209

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.6 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
943 Specialists

Practicing in Chicago, IL (2895 Statewide)

Telehealth Adoption Rate
3.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-04-01
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License IL 164006684

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 purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 01, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location April 01, 2025

Registered at 740 N OGDEN AVE APT 4, CHICAGO, IL 606427063 (Tel: 6084381612)

📍
Updated Business Mailing Address April 01, 2025

Registered at 1842 N ALBANY AVE, CHICAGO, IL 606475073 (Tel: 6084381612)

👤
Provider Name / Credentials Updated April 01, 2025

Recorded as INGRID CLARK, MS, RD, LDN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2025

Dietitian, Registered (License #164006684 in IL)

🟢
Initial NPI Registration & Enumeration April 01, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356144489
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 01, 2025
Last Update: April 01, 2025
Sole Proprietor: Yes

Mailing Address

1842 N Albany Ave

Chicago, IL 606475073

Phone: 6084381612

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.