Institute for Health Behavior Change Inc.
NPI #1639350044 in Willowbrook, Illinois
Provider Information
- NPI Number
- 1639350044
- Entity Type
- Organization
- Organization Name
- Institute for Health Behavior Change Inc.
- Primary Specialty
- Clinical Neuropsychologist
- Enumeration Date
- Nov 14, 2007
- Last Updated
- Feb 13, 2008
Practice Location
- Address
- 621 PLAINFIELD RD STE 110
- City
- Willowbrook
- State
- Illinois
- ZIP Code
- 60527-5385
- Phone
- (630) 654-1377
Authorized Official
- Name
- DR. RICHENEL SAMUEL ELLECOM, PSY.D, DR.P.H.
- Title
- PRESIDENT/OWNER
- Phone
- (630) 654-1377
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Neuropsychologist |
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