Georgeann L Iacono Russell, PH.D
NPI #1164552154 in River Forest, Illinois
Provider Information
- NPI Number
- 1164552154
- Entity Type
- Individual
- Name
- Georgeann L Iacono Russell, PH.D
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Clinical
- Credential
- PH.D
- Enumeration Date
- Mar 7, 2007
- Last Updated
- Mar 11, 2011
Practice Location
- Address
- 7411 WEST LAKE STREET
- Address 2
- BUILDING A, SUITE L120
- City
- River Forest
- State
- Illinois
- ZIP Code
- 60305-1876
- Phone
- (708) 488-1919
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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