Marconi Delegero Deladisma, MD
Family Medicine in Rockford, IL. Individual provider (NPI-1).
NPI number1477597342
StatusActive
Last updated in NPPESOct 2, 2014
Details
- NPI
- 1477597342
- Entity type
- Individual (NPI-1)
- Name
- Marconi Delegero Deladisma
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2006
- Last updated
- Oct 2, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 036114984 | IL | Yes |
| 207Q00000X | Family Medicine | 241377 | NY | |
| 207Q00000X | Family Medicine | 63412 | GA |
Practice location
2300 N Rockton AveRockford Health Physicians
Rockford, IL 61103-3619
Phone 815-971-2000 · Fax 815-971-9501
Mailing address
2300 N Rockton AveRockford Health Physicians
Rockford, IL 61103-3619
Phone 815-971-2000 · Fax 815-971-9501
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