JOSEPH CLARK MS RD CSSD NPI 1376460907

NPI Information

  • NPI: 1376460907
  • Provider Name: JOSEPH CLARK, MS, RD, CSSD
  • Classification: Dietitian, Registered - 133VN1501X
  • Specialization: Nutrition, Sports Dietetics
  • Entity Type: Individual
  • Address: 2508 W NORTH SHORE AVE APT 2
    CHICAGO, IL
    ZIP 60645
  • Phone: (651) 756-0081

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NPI Details

Joseph Clark, MS, RD, CSSD is a nutrition and sports dietetics dietitian registered in Chicago, IL. The provider is an individual who is a Board Certified Specialist in Sports Dietetics and applies evidence-based nutrition knowledge in exercise and sports. RDNs specializing in sports dietetics assess, educate, and counsel athletes and active individuals. They design, implement, and manage safe and effective nutrition strategies that enhance lifelong health, fitness, and optimal performance. Joseph Clark, MS, RD, CSSD NPI is 1376460907. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2508 W NORTH SHORE AVE APT 2
CHICAGO, IL
ZIP 60645-048
Phone: (651) 756-0081

The enumeration date for this NPI number is 7/3/2026 and was last updated on 7/3/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133VN1501XDietitian, RegisteredNutrition, Sports DieteticsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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