Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GEORGEANN L IACONO RUSSELL, PH.D
ActiveClinical Psychologist · RIVER FOREST, IL
Registration Details
- NPI Number
- 1164552154
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 7, 2007 (19.191696177332 yrs)
- Last Updated
- Mar 11, 2011
- License
-
071-004593 (IL)
Practice Information
- Address
-
7411 WEST LAKE STREETBUILDING A, SUITE L120RIVER FOREST, IL, 603051876Browse IL providers · Browse ZIP 60305
- Phone
- 7084881919
- Fax
- 7087632120
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in RIVER FOREST, IL
| Name | Credential | NPI |
|---|---|---|
| DR. THOMAS J ROSTAFINSKI | PHD | 1508859521 |
| DR. ROBERT BARRY LEES | PH.D. | 1396763660 |
| DR. JOHN EDWARD MUNDT | PH.D. | 1710998596 |
| DR. CARLISSA RICHARDS HUGHES | PH.D. | 1477614691 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.