1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Dietitian Registered
  6. NPI Profile

LISA P CLARK RD,LDN, CNSC
NPI 1134613953
Dietitian, Registered in Chicago, IL

Active since June 15, 2018
2900 N LAKESHORE DRIVE, CHICAGO, IL 60657(773) 665-3326(773) 665-3231 Get Directions Write a Review

NPPES record last updated: June 15, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa P Clark Rd,ldn, Cnsc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA P CLARK RD,LDN, CNSC (NPI 1134613953) is an individual dietitian, registered in Chicago, Illinois, licensed in Illinois (164000736) and active in the NPI registry since June 2018. She maintains a secondary practice location in Evanston.

NPPES Registry Identity

NPI1134613953
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameLISA P CLARKCredential: RD,LDN, CNSC
Location Address2900 N LAKESHORE DRIVEChicago, IL 60657
Mailing Address2900 N Lake Shore DrChicago, IL 60657-6274 · (773) 665-3326 · Fax (773) 665-3231
Phone(773) 665-3326
Fax(773) 665-3231
Sole ProprietorNo
Enumeration DateJune 15, 2018
✔ NPI 1134613953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in IL · 164000736
Definition
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.
2900 N LAKESHORE DRIVE, Chicago, IL 60657
Open in Google Maps ↗

Secondary Practice Location 1

Location 1355 Ridge AveEvanston, IL 60202-3328 · Phone (847) 316-2601 ext. 2601 · Fax (847) 316-6214

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAMAKRISHNA VELAMATI MD
Pediatrics (Neonatal-Perinatal Medicine)
2900 N LAKESHORE DRIVE
CHICAGO, IL 60657
Cook County (773) 665-3000
RAM VELAMATI MD SC
Pediatrics (Neonatal-Perinatal Medicine)
2900 N LAKESHORE DRIVE
CHICAGO, IL 60657
Cook County (773) 665-3000
SAINT JOSEPH HOSPITAL
General Acute Care Hospital
2900 N LAKESHORE DRIVE
CHICAGO, IL 60657
Cook County (773) 665-3022

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Clark's NPI number?

The NPI number for Lisa Clark is 1134613953. It was assigned to this individual provider in the NPPES registry on June 15, 2018.

Where is Lisa Clark located?

Lisa Clark practices at 2900 N Lakeshore Drive, Chicago, IL 60657. The listed phone number is (773) 665-3326.

What is Lisa Clark's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Lisa Clark was last updated on June 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.