Search › Illinois › 133V00000X
Richenel Ellecom, PSY.D; DR.P.H
NPI 1063406569 · on the registry since 2005 · sole proprietor
Practice
- Address
- 621 Plainfield Rd
Suite 110
Willow Brook, IL 60527 - Phone
- (630) 654-1377
- Fax
- (630) 654-2575
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 133V00000X
133V00000X
- Also registered as
- 103G00000X
103G00000X - Licence states on file
- IL, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-10-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois