SEAN CLARK RD
NPI 1720730831
Dietitian, Registered in Chicago, IL

Q: What is Sean Clark's NPI number?

The NPI number for Sean Clark is 1720730831. It was assigned to this individual provider in the NPPES registry on January 20, 2022.

Q: What is Sean Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sean Clark was last updated on January 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since January 20, 2022

2003 W FULTON ST STE 300, CHICAGO, IL 60612(312) 850-3438 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Sean Clark Rd NPPES

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

SEAN CLARK RD (NPI 1720730831) is an individual dietitian, registered in Chicago, Illinois and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1720730831

Entity TypeIndividualMale

Primary Taxonomy133V00000X

Provider Legal NameSEAN CLARKCredential: RD

Location Address2003 W FULTON ST STE 300Chicago, IL 60612-2345

Mailing Address3230 Wesley AveBerwyn, IL 60402-3462 · (618) 204-7575

Phone(312) 850-3438

Sole ProprietorNo

Enumeration DateJanuary 20, 2022

NPPES CertifiedJanuary 20, 2022

✔ NPI 1720730831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

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.

2003 W FULTON ST STE 300, Chicago, IL 60612

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Other Providers at the Same Location NPPES 14

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

MRS. AMALIA MELISSA KYRIACOU RDN, LDN

Dietitian, Registered