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DR. RICHENEL SAMUEL ELLECOM PSY.D; DR.P.H
NPI 1063406569
Dietitian, Registered in Willow Brook, IL

Active since September 12, 2005
621 PLAINFIELD RD, SUITE 110, WILLOW BROOK, IL 60527(630) 654-1377(630) 654-2575 Get Directions Write a Review

NPPES record last updated: October 27, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Richenel Samuel Ellecom Psy.d; Dr.p.h NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RICHENEL SAMUEL ELLECOM PSY.D; DR.P.H (NPI 1063406569) is an individual dietitian, registered in Willow Brook, Illinois, licensed in Illinois (164-2611) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1063406569
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NameDR. RICHENEL SAMUEL ELLECOMCredential: PSY.D; DR.P.H
Location Address621 PLAINFIELD RD, SUITE 110Willow Brook, IL 60527-5343
Mailing Address621 Plainfield Rd, Suite 110Willow Brook, IL 60527-5343 · (630) 654-1377 · Fax (630) 654-2575
Phone(630) 654-1377
Fax(630) 654-2575
Sole ProprietorYes
Enumeration DateSeptember 12, 2005
Last NPPES UpdateOctober 27, 2008
✔ NPI 1063406569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in IL · 164-2611
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.
Also ListedClinical NeuropsychologistTaxonomy 103G00000X · License 71-5240 (IL), 20040961A (IN)
621 PLAINFIELD RD, Willow Brook, IL 60527
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Other Identifiers 5

Medicaid200909210AIN
Medicaid200078600IN
Medicare PIN877640AIN
Medicare PIN392810IL
Medicare PIN409580AIN

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SYED YOUSUF KHADRI M.D.
Psychiatry & Neurology (Psychiatry)
621 PLAINFIELD RD, SUITE 110
WILLOW BROOK, IL 60527
Dupage County (630) 325-1799
WISDOM CARE & CONSULTING SERVICES, INC
Nursing Care
621 PLAINFIELD RD, SUITE 203
WILLOWBROOK, IL 60527
Dupage County (630) 568-5047
SOUMYA HEALTH, LLC
Internal Medicine
621 PLAINFIELD RD, SUITE 107
WILLOWBROOK, IL 60527
Dupage County (847) 924-0299
WAYNE ALLEN JONES LCPC, MA
Counselor (Professional)
621 PLAINFIELD RD, 110
WILLOWBROOK, IL 60527
Dupage County (773) 793-4095
HEALTH TEAM CORPORATION
Home Health
621 PLAINFIELD RD, SUITE 301
WILLOWBROOK, IL 60527
Dupage County (630) 655-3010
DR. RATHNA K YALLAPRAGADA M.D.
Internal Medicine
621 PLAINFIELD RD, SUITE 107
WILLOWBROOK, IL 60527
Dupage County (630) 323-8595
JANICE W LYON MD
Obstetrics & Gynecology (Gynecology)
621 PLAINFIELD RD, SUITE 107
WILLOWBROOK, IL 60527
Dupage County (630) 986-5968
ANTONIETTA PADIOS HOJILLA RN
Home Health
621 PLAINFIELD RD, SUITE 309
WILLOWBROOK, IL 60527
Dupage County (708) 374-4888

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richenel Ellecom's NPI number?

The NPI number for Richenel Ellecom is 1063406569. It was assigned to this individual provider in the NPPES registry on September 12, 2005.

Where is Richenel Ellecom located?

Richenel Ellecom practices at 621 Plainfield Rd Suite 110, Willow Brook, IL 60527. The listed phone number is (630) 654-1377.

What is Richenel Ellecom's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Richenel Ellecom was last updated on October 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.