GEORGEANN L IACONO RUSSELL

RIVER FOREST, IL
NPI1164552154
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: IL  071-004593)
Enumeration Date2007-03-07
Last Update Date2011-03-11
Business Address
GEORGEANN L IACONO RUSSELL PH.D
7411 WEST LAKE STREET BUILDING A, SUITE L120
RIVER FOREST, IL 60305-1876
Phone number: 708-488-1919
Mailing Address
GEORGEANN L IACONO RUSSELL PH.D
1825 DE FOREST LN
HANOVER PARK, IL 60133-5905
Phone number: 630-837-8028