DR. RICHENEL SAMUEL ELLECOM (PSY.D; DR.P.H) – Registered Dietitian, NPI 1063406569

DR. RICHENEL SAMUEL ELLECOM (PSY.D; DR.P.H) is a healthcare provider. based in Willow brook, Illinois. specializing in Registered Dietitian. They hold the professional credentials PSY.D; DR.P.H. They hold a License No. 71-5240 (IL). The NPI Number for DR. RICHENEL SAMUEL ELLECOM (PSY.D; DR.P.H) is 1063406569

Main info

Male
Sole Proprietor
Name
DR. RICHENEL SAMUEL ELLECOM (PSY.D; DR.P.H)
NPI
1063406569
Phone
(630) 654-1377
Address
621 PLAINFIELD RD
Enumeration Date
12 September 2005
Last Update Date
27 October 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:20State licenses:3Digital endpointsOther names

Provider Addresses for DR. RICHENEL SAMUEL ELLECOM (PSY.D; DR.P.H)

  • 621 PLAINFIELD RD

    SUITE 110

    WILLOW BROOK, IL 605275343

    Phone: (630) 654-1377

    Fax: (630) 654-2575

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60527)

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Reviews

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Frequently asked questions

Can I cross-check DR. RICHENEL SAMUEL ELLECOM (PSY.D; DR.P.H) using NPI 1063406569?
NPI 1063406569 belongs to DR. RICHENEL SAMUEL ELLECOM (PSY.D; DR.P.H); compare other details if you need extra assurance.
Active or inactive — what applies to DR. RICHENEL SAMUEL ELLECOM (PSY.D; DR.P.H)?
You should see DR. RICHENEL SAMUEL ELLECOM (PSY.D; DR.P.H) as active in CMS-hosted NPPES data.
What kind of doctor is DR. RICHENEL SAMUEL ELLECOM (PSY.D; DR.P.H)?
DR. RICHENEL SAMUEL ELLECOM (PSY.D; DR.P.H) is associated with Registered Dietitian in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. RICHENEL SAMUEL ELLECOM (PSY.D; DR.P.H)?
Travel planning: use Willow Brook, Illinois as the reference point for DR. RICHENEL SAMUEL ELLECOM (PSY.D; DR.P.H), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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