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Georgeann L Iacono Russell, PHD
Clinical Psychologist in River Forest, Illinois
NPI 1164552154

Georgeann L Iacono Russell is a Clinical Psychologist based in Hanover Park, IL and is specialized in Clinical. Georgeann L Iacono Russell practices in River Forest, IL and has the professional credentials of PHD. The NPI Number for Georgeann L Iacono Russell is 1164552154 and holds a License No. 071-004593 (Illinois).

The current practice location address for Georgeann L Iacono Russell is 7411 West Lake Street, River Forest, IL and can be reached out via phone at 708-488-1919 and via fax at 708-763-2120.

Location: 7411 West Lake Street, River Forest, IL, 60133-5905
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164552154
Provider Name
Georgeann L Iacono Russell
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
7411 West Lake Street, River Forest, IL, 60133-5905
Phone Number
708-488-1919
Fax Number
708-763-2120
Provider Enumeration Date
03/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
21623162 01 IL BCBS GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
7411 West Lake Street
City
River Forest
State
Illinois
Zip
60305-1876
Phone Number
708-488-1919
Fax Number
708-763-2120
person
Provider Business Mailing Address Details
Address
7411 West Lake Street
City
River Forest
State
Illinois
Zip
60305-1876
Phone Number
708-488-1919
Fax Number
708-763-2120
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
071-004593 (Illinois)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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