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Ryan Clark

Dietitian, Registered • La Grange, IL

Active NPI 1205704293 Individual Practitioner Male Practitioner
Practice location in NPPES

5101 Willow Springs Rd
La Grange, IL 605252600

Call 7082453751 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5101 Willow Springs Rd

La Grange, IL 605252600

Telephone 7082453751
Organization at the Same NPPES Address or Phone
Suburban Anesthesiologists, Sc Facility NPI 1194767392

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in La Grange and Illinois

9 active clinicians are listed under Dietitian, Registered with a practice address in La Grange, IL (2,908 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-10-29
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

19 listed
Jennifer Antone , CRNA

Nurse Anesthetist, Certified Registered

NPI 1093734725

Certified Registered Nurse Anesthetist

Michelle Buikema , NP-C

Nurse Practitioner

NPI 1760757280

Nurse Practitioner (Certified)

Ann Czarny , APRN

Clinical Nurse Specialist - Critical Care Medicine

NPI 1831444082

Advanced Practice Registered Nurse

Dr. Vladislav Gorengaut , MD

Radiology - Diagnostic Radiology

NPI 1194772590

Doctor of Medicine (M.D.)

Kimberly Gregoriou , APN

Nurse Practitioner

NPI 1982183711

Advanced Practice Nurse

Dr. Afshan Hafiz Ahmed , MD

Family Medicine - Geriatric Medicine

NPI 1801956768

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated October 29, 2025.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from November 2025 to November 2026.

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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

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.