RICHENEL SAMUEL ELLECOM

WILLOW BROOK, IL
NPI1063406569
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IL  164-2611)
Additional Taxonomies103G00000X Clinical Neuropsychologist
(Licence: IL  71-5240)
103G00000X Clinical Neuropsychologist
(Licence: IN  20040961A)
Enumeration Date2005-09-12
Last Update Date2008-10-27
Business Address
Dr. RICHENEL SAMUEL ELLECOM Psy.D; Dr.P.H
621 PLAINFIELD RD SUITE 110
WILLOW BROOK, IL 60527-5343
Phone number: 630-654-1377
Mailing Address
Dr. RICHENEL SAMUEL ELLECOM Psy.D; Dr.P.H
621 PLAINFIELD RD SUITE 110
WILLOW BROOK, IL 60527-5343
Phone number: 630-654-1377