Individual
DR. RUSSELL SCOTT MCCORMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
24020 W RIVERWALK CT, #100, PLAINFIELD, IL 60544-7103
(815) 577-8970
Mailing address
2008 TEE GIRL CT, NAPERVILLE, IL 60564-4380
(630) 904-1014
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.005439
IL
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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