GEORGEANN IACONO RUSSELL, PH.D
Psychologist - Clinical
Active
Individual
NPI: 1164552154
Practice Address
7411 WEST LAKE STREETBUILDING A, SUITE L120
River Forest, IL 60305
Phone: (708) 488-1919
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist - Clinical | 103TC0700X | Yes | 071-004593 (IL) |
Frequently Asked Questions
NPI 1164552154 is the National Provider Identifier for GEORGEANN IACONO RUSSELL, PH.D, a Psychologist - Clinical provider located in River Forest, IL. This NPI was enumerated on March 7, 2007.
GEORGEANN IACONO RUSSELL, PH.D practices at 7411 WEST LAKE STREET, BUILDING A, SUITE L120, River Forest, IL 60305.
Quick Facts
- NPI
- 1164552154
- Type
- Individual
- Enumerated
- Mar 7, 2007
- Last Updated
- Mar 11, 2011
Nearby Providers
-
RIVER FOREST SURGERY CENTER LLC
Clinic/Center - Ambulatory Surgical
-
CAROL GERSON, MD
Otolaryngology - Pediatric Otolaryngology
-
SAPPHO RISNER, NCSP
Psychologist - School
-
WILLIAM MILLMAN, M.D.
Internal Medicine - Cardiovascular Disease
-
SCOTT MERCOLA, MD
Pediatrics