| Marconi Delegero Deladisma, MD | |
|
2300 N Rockton Ave, Rockford Health Physicians, Rockford, IL 61103-3619 | |
| (815) 971-2000 | |
| (815) 971-9501 |
| Full Name | Marconi Delegero Deladisma |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 26 Years |
| Location | 2300 N Rockton Ave, Rockford, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477597342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 241377 (New York) | Secondary |
| 207Q00000X | Family Medicine | 63412 (Georgia) | Secondary |
| 207Q00000X | Family Medicine | 036114984 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Javon Bea Hospital | Rockford, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rockford Health Physicians | 2567374036 | 362 |
| Entity Name | Rockford Health Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584 |
| Entity Name | Ameriwound Physicians Il Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104245893 PECOS PAC ID: 2860616299 Enrollment ID: O20140605000079 |
| Mailing Address | Practice Location Address |
|---|---|
| Marconi Delegero Deladisma, MD 2300 N Rockton Ave, Rockford Health Physicians, Rockford, IL 61103-3619 Ph: (815) 971-2000 | Marconi Delegero Deladisma, MD 2300 N Rockton Ave, Rockford Health Physicians, Rockford, IL 61103-3619 Ph: (815) 971-2000 |
Srivani Sridhar, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3505 N. Bell School Rd., Rockford, IL 61114 Phone: 779-696-0300 | |
Dr. John Wall, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 | |
Dr. Steven J Lidvall, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1215 N Alpine Rd, Rockford, IL 61107 Phone: 815-391-7807 | |
Dr. Arpana Broor Mathur, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 698 Featherstone Rd, Suite 250, Rockford, IL 61107 Phone: 815-399-4404 Fax: 815-484-7091 | |
Ms. Rachael Mcpeek, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1215 N Alpine Rd, Rockford, IL 61107 Phone: 815-490-1600 | |
Dr. Jithinraj Edakkanambeth Varayil, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1881 | |
Dr. Raju M Shanmugam, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3401 N Perryville Rd, Rockford, IL 61114 Phone: 815-971-2000 Fax: 815-971-2000 |