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Active NPI 1205704293 Individual Practitioner Male Practitioner

Ryan Clark

Dietitian, Registered • La Grange, IL

Professional Overview & Biography Verified Profile Summary

Ryan Clark is a registered healthcare professional specializing in Dietitian, Registered in La Grange, IL. Practice services are available at 5101 WILLOW SPRINGS RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5101 Willow Springs Rd

La Grange, IL 605252600

Telephone 7082453751
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in La Grange, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
8 Specialists

Practicing in La Grange, IL (2895 Statewide)

Telehealth Adoption Rate
0.0% 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: 2025-10-29
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License IL 164008740

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Elizabeth Zawila , RD, LDN

Dietitian, Registered

NPI 1780055350

Registered Dietitian, Licensed Dietitian Nutritionist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 29, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location October 29, 2025

Registered at 5101 WILLOW SPRINGS RD, LA GRANGE, IL 605252600 (Tel: 7082453751)

📍
Updated Business Mailing Address October 29, 2025

Registered at 4700 BELMONT RD, DOWNERS GROVE, IL 605153220 (Tel: 6308815881)

👤
Provider Name / Credentials Updated October 29, 2025

Recorded as RYAN CLARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2025

Dietitian, Registered (License #164008740 in IL)

🟢
Initial NPI Registration & Enumeration October 29, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1205704293
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 29, 2025
Last Update: October 29, 2025
Sole Proprietor: No

Mailing Address

4700 Belmont Rd

Downers Grove, IL 605153220

Phone: 6308815881

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.