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GEORGEANN L IACONO RUSSELL PH.D
NPI 1164552154
Psychologist - Clinical in River Forest, IL

Active since March 07, 2007PECOS EnrolledAccepts Medicare Assignment
7411 WEST LAKE STREET, BUILDING A, SUITE L120, RIVER FOREST, IL 60305(708) 488-1919(708) 763-2120 Get Directions Write a Review

NPPES record last updated: March 11, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Georgeann L Iacono Russell Ph.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEORGEANN L IACONO RUSSELL PH.D (NPI 1164552154) is an individual clinical provider in River Forest, Illinois, licensed in Illinois (071-004593) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1164552154
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameGEORGEANN L IACONO RUSSELLCredential: PH.D
Location Address7411 WEST LAKE STREET, BUILDING A, SUITE L120River Forest, IL 60305-1876
Mailing Address1825 De Forest LnHanover Park, IL 60133-5905 · (630) 837-8028 · Fax (708) 763-2120
Phone(708) 488-1919
Fax(708) 763-2120
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateMarch 7, 2007
Last NPPES UpdateMarch 11, 2011
✔ NPI 1164552154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071-004593
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.
7411 WEST LAKE STREET, River Forest, IL 60305
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Other Identifiers 2

Medicare ID-Type Unspecified207822IL · Medicare Group Number
Other21623162IL · Bcbs Group Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Georgeann L Iacono Russell Ph.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779478854
PECOS Enrollment IDI20040218000111
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$183.39 typical visit price
range $60.08 – $183.39
Typical copayment $45.84 (range $15.02 – $45.84)
Most-billed visit code 99205
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RESURRECTION SERVICES
Internal Medicine (Cardiovascular Disease)
7411 WEST LAKE STREET, SUITE 2110
RIVER FOREST, IL 60305
Cook County (708) 763-2327

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Georgeann Iacono Russell's NPI number?

The NPI number for Georgeann Iacono Russell is 1164552154. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Where is Georgeann Iacono Russell located?

Georgeann Iacono Russell practices at 7411 West Lake Street Building A, Suite L120, River Forest, IL 60305. The listed phone number is (708) 488-1919.

What is Georgeann Iacono Russell's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Georgeann Iacono Russell enrolled in Medicare?

Yes. Georgeann Iacono Russell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Georgeann Iacono Russell accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Georgeann Iacono Russell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Georgeann Iacono Russell was last updated on March 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.