MEDICARE: LINDA M DELESSIO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	33230	IA
2	208000000X	Pediatrics Physician	33375-020	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	147377	OTHER	IOWA HEALTH SOLUTIONS
3	29693	OTHER	WELLMARK BC/BS
4	IA0124	OTHER	JOHN DEERE HEALTH PLAN
5	054372	OTHER	HEALTH ALLIANCE

General Provider Information

NPI Number	:	1275538209
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA M DELESSIO MD

Provider Business Mailing Address
First Line	:	865 LINCOLN RD
Second Line	:	STE L10
City	:	BETTENDORF
State	:	IA
Zip	:	52722-4159
Country	:	US
Telephone Number	:	563-355-9191
Fax Number	:	563-355-3419

Provider Business Practice Location Address
First Line	:	865 LINCOLN RD
Second Line	:	STE 200
City	:	BETTENDORF
State	:	IA
Zip	:	52722-4159
Country	:	US
Telephone Number	:	563-344-8600
Fax Number	:	563-344-2967

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	05/04/2021

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Directions to “ LINDA M DELESSIO MD” Practice Location

Language	Start Address	Practice Location

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