Individual provider · Type 1 NPI
Richenel Samuel Ellecom, PSY.D; DR.P.H
Registered Dietitian · Willow Brook, IL
Practice location
621 Plainfield Rd, Suite 110
Willow Brook, IL 60527-5343
Fax (630) 654-2575
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 71-5240 (IL) |
| Clinical Neuropsychologist | 103G00000X | 20040961A (IN) |
| Registered Dietitian Primary | 133V00000X | 164-2611 (IL) |
Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…
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About NPI 1063406569
Richenel Samuel Ellecom, PSY.D; DR.P.H's National Provider Identifier is 1063406569, issued on Sep 12, 2005. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Willow Brook, IL. The record was last updated on Oct 27, 2008.