| Institute For Health Behavior Change Inc. | |
|
621 Plainfield Rd Ste 110 Willowbrook IL 60527-5385 | |
| (630) 654-1377 | |
| (630) 654-2575 |
| Full Name | Institute For Health Behavior Change Inc. |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 621 Plainfield Rd Ste 110, Willowbrook, Illinois |
| Authorized Official Name and Position | Richenel Samuel Ellecom (PRESIDENT/OWNER) |
| Authorized Official Contact | 6306541377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Institute For Health Behavior Change Inc. 621 Plainfield Rd Ste 110 Willowbrook IL 60527-5385 Ph: (630) 654-1377 | Institute For Health Behavior Change Inc. 621 Plainfield Rd Ste 110 Willowbrook IL 60527-5385 Ph: (630) 654-1377 |
| NPI Number | 1639350044 |
|---|---|
| Provider Enumeration Date | 11/14/2007 |
| Last Update Date | 02/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639350044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 71-5240 (Illinois) | Primary |
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