Clark, Madhu

Clark, Madhu is an sole proprietor health care provider with primary practice located at 338 Chick Evans St , Bolingbrook IL 60490-2075. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutritionist. Dietary & Nutritional Service Providers / Nutritionist is her primary health care specialty. Clark, Madhu can be contacted via phone (630) 849-9925.

Contact Information

Primary practice address
338 Chick Evans St Bolingbrook IL 60490-2075
Phone: (630) 849-9925
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 164003249 Illinois
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 164003249 Illinois

Profile Details

NPI number 1881439073
LBN Legal business name Clark, Madhu
Credentials RD, LDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2024
Last updated Jun 28th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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