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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. RAJESWARI MANAM
NPI 1639004906
Dentist - General Practice in Rockford, IL

Active since June 16, 2026
6215 E STATE ST, ROCKFORD, IL 61108(815) 399-7777 Get Directions Write a Review

NPPES record last updated: October 2, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 2, 2026, Sep 20, 2026 (2 updates tracked since 2026).

About Dr. Rajeswari Manam NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RAJESWARI MANAM (NPI 1639004906) is an individual general practice provider in Rockford, Illinois, licensed in Illinois (019.037481) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1639004906
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. RAJESWARI MANAM
Location Address6215 E STATE STRockford, IL 61108-2514
Mailing Address6349 Galleon DrMechanicsburg, PA 17050-2949 · (562) 481-4696
Phone(815) 399-7777
Sole ProprietorYes
Enumeration DateJune 16, 2026
Last NPPES UpdateOctober 2, 20262 updates tracked since enumeration
NPPES CertifiedOctober 2, 2026
✔ NPI 1639004906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019.037481
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
6215 E STATE ST, Rockford, IL 61108
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Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KEHINDE JOHN FASANYA DDS
Dentist
6215 E STATE ST
ROCKFORD, IL 61108
Winnebago County (920) 838-1649
ASHLEY TSIAO D.M.D
Dentist (General Practice)
6215 E STATE ST
ROCKFORD, IL 61108
Winnebago County (815) 399-7777
AQIL VALIKA
Dentist (General Practice)
6215 E STATE ST
ROCKFORD, IL 61108
Winnebago County (815) 399-7777
DR. KENNETH ERIC ANTONOFF D.D.S
Dentist
6215 E STATE ST
ROCKFORD, IL 61108
Winnebago County (414) 340-1844
DR. DONG HYUN YOO
Dentist
6215 E STATE ST
ROCKFORD, IL 61108
Winnebago County (815) 399-7777
DR. ZHICHUN YU DMD
Dentist
6215 E STATE ST
ROCKFORD, IL 61108
Winnebago County (415) 279-7923
DR. DHIVYALAKSHMI MANAVAZHAGAN DDS
Dentist (General Practice)
6215 E STATE ST
ROCKFORD, IL 61108
Winnebago County (815) 399-7080
YU-JIN LEE D.M.D.
Dentist (General Practice)
6215 E STATE ST
ROCKFORD, IL 61108
Winnebago County (815) 399-7777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rajeswari Manam's NPI number?

The NPI number for Rajeswari Manam is 1639004906. It was assigned to this individual provider in the NPPES registry on June 16, 2026.

Where is Rajeswari Manam located?

Rajeswari Manam practices at 6215 E State St, Rockford, IL 61108. The listed phone number is (815) 399-7777.

What is Rajeswari Manam's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Rajeswari Manam was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.