Madhu Clark, RD, LDN
NPI 1881439073ActiveIndividual· Nutritionist· Bolingbrook, IL
Nutritionist (RD, LDN) in Bolingbrook, Illinois, licensed in IL, with an NPI issued in June 2024.
Overview
| NPI | 1881439073 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RD, LDN |
| Sole proprietor | Yes |
| NPI issued | Jun 28, 2024 |
| Last updated in NPPES | Jun 28, 2024 |
| Certified by provider | Jun 28, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nutritionist Primary | 133N00000X | 164003249 | IL |
| Dietitian, Registered | 133V00000X | 164003249 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Nutritionist providers in Bolingbrook
- 1114872199
- 1164849220