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Dr. Richenel Samuel Ellecom, PSYD;DRPH
Registered Dietitian in Willow Brook, Illinois
NPI 1063406569

Richenel Samuel Ellecom is a Registered Dietitian based in Willow Brook, IL. Richenel Samuel Ellecom practices in Willow Brook, IL and has the professional credentials of PSYD;DRPH. The NPI Number for Richenel Samuel Ellecom is 1063406569 and holds a License No. 71-5240 (Illinois).

The current practice location address for Richenel Samuel Ellecom is 621 Plainfield Rd, Willow Brook, IL and can be reached out via phone at 630-654-1377 and via fax at 630-654-2575.

Location: 621 Plainfield Rd, Willow Brook, IL, 60527-5343
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063406569
Provider Name
Richenel Samuel Ellecom
Credential
PSYD;DRPH
Provider Entity Type
Individual
Gender
Male
Address
621 Plainfield Rd, Willow Brook, IL, 60527-5343
Phone Number
630-654-1377
Fax Number
630-654-2575
Provider Enumeration Date
09/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200909210A 05 IN
200078600 05 IN
institution
Provider Business Practice Location Address Details
Address
621 Plainfield Rd
City
Willow Brook
State
Illinois
Zip
60527-5343
Phone Number
630-654-1377
Fax Number
630-654-2575
person
Provider Business Mailing Address Details
Address
621 Plainfield Rd
City
Willow Brook
State
Illinois
Zip
60527-5343
Phone Number
630-654-1377
Fax Number
630-654-2575
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Clinical Neuropsychologist
Speciality
-
Taxonomy
103G00000X
License No.
20040961A (Indiana)
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
person
Provider's Taxonomy Details 2
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
-
Taxonomy
133V00000X
License No.
71-5240 (Illinois)
Definition
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 purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
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