Individual
MARCONI DELEGERO DELADISMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 N ROCKTON AVE, ROCKFORD HEALTH PHYSICIANS, ROCKFORD, IL 61103-3619
(815) 971-2000
(815) 971-9501
Mailing address
2300 N ROCKTON AVE, ROCKFORD HEALTH PHYSICIANS, ROCKFORD, IL 61103-3619
(815) 971-2000
(815) 971-9501
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036114984
IL
207Q00000X
Family Medicine Physician
241377
NY
207Q00000X
Family Medicine Physician
63412
GA
Other
Enumeration date
06/15/2006
Last updated
10/02/2014
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