DR. Richenel Samuel Ellecom PSY.D; DR.P.H

  • NPI 1063406569
According to our database, the NPI number for DR. Richenel Samuel Ellecom PSY.D; DR.P.H is 1063406569 and activated since 18 years ago. DR. Richenel Samuel Ellecom PSY.D; DR.P.H is an individual provider who specializes in Clinical Neuropsychologist, and the primary practice location is 621 Plainfield Rd, Willow Brook, IL 60527. You can also contact DR. Richenel Samuel Ellecom PSY.D; DR.P.H via telephone number is (630) 654-1377. Provider NPI information was last updated on 10/27/2008.

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Overview of DR. Richenel Samuel Ellecom PSY.D; DR.P.H

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 09/12/2005
  • Last updated: 10/27/2008

Primary Scrop of Practice

  • Taxonomy Code: 103G00000X
  • Specialty: Clinical Neuropsychologist
  • License Number: 20040961A
  • License State: IN

Provider Mailing Address

  • Address: 621 Plainfield Rd
    Suite 110
    Willow Brook, IL 60527
  • Phone: 630-654-1377
  • Fax: 630-654-2575

Provider Practice Location

  • Address: 621 Plainfield Rd
    Suite 110
    Willow Brook, IL 60527
  • Phone: 630-654-1377
  • Fax: 630-654-2575

Scope of Practice

  • Taxonomy Code: 103G00000X
  • Specialty: Clinical Neuropsychologist
  • License Number: 20040961A
  • License State: IN
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 200078600
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: IN
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Richenel Samuel Ellecom PSY.D; DR.P.H?
  • A: The npi number for DR. Richenel Samuel Ellecom PSY.D; DR.P.H is 1063406569.
  • Q: What are DR. Richenel Samuel Ellecom PSY.D; DR.P.H's specialties?
  • A: DR. Richenel Samuel Ellecom PSY.D; DR.P.H's specialties are Clinical Neuropsychologist and different specialities.
  • Q: What is the medical license for DR. Richenel Samuel Ellecom PSY.D; DR.P.H?
  • A: The medical license number for DR. Richenel Samuel Ellecom PSY.D; DR.P.H is 20040961A and issued in IN in USA.
  • Q: Where is DR. Richenel Samuel Ellecom PSY.D; DR.P.H practice location?
  • A: DR. Richenel Samuel Ellecom PSY.D; DR.P.H is practicing at 621 Plainfield Rd, Willow Brook, IL 60527.
  • Q: How to contact DR. Richenel Samuel Ellecom PSY.D; DR.P.H?
  • A: You can contact DR. Richenel Samuel Ellecom PSY.D; DR.P.H via 630-654-1377.