Search › Illinois › 133V00000X
Ingrid Clark, MS, RD, LDN
NPI 1356144489 · on the registry since 2025 · sole proprietor
Practice
- Address
- 740 N Ogden Ave Apt 4
Chicago, IL 60642 - Phone
- (608) 438-1612
- Organisation at this address
- Wild Table Pllc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 133V00000X
133V00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-04-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois