Organization
INSTITUTE FOR HEALTH BEHAVIOR CHANGE INC.
Active
Organization
INSTITUTE FOR HEALTH BEHAVIOR CHANGE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHENEL SAMUEL ELLECOM PSY.D, DR.P.H. (PRESIDENT/OWNER)
(630) 654-1377
Entity
Organization
Contact information
Practice address
621 PLAINFIELD RD STE 110, WILLOWBROOK, IL 60527-5385
(630) 654-1377
(630) 654-2575
Mailing address
621 PLAINFIELD RD STE 110, WILLOWBROOK, IL 60527-5385
(630) 654-1377
(630) 654-2575
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
71-5240
IL
Other
Enumeration date
11/14/2007
Last updated
02/13/2008
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