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Contact Information

LISA P CLARK, RD,LDN, CNSC
2900 N LAKESHORE DRIVE
CHICAGO, IL60657
 Phone: 773-665-3326
 Fax: 773-665-3231
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for LISA P CLARK · (Female)

NPI # 1134613953
Status Active
Credentials RD,LDN, CNSC
Entity Individual
Enumeration date 06/15/2018
Last updated 06/15/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 164000736
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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