MEDICARE: MR. NICHOLAS J MANNO 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	207T00000X	Neurological Surgery Physician		IL

General Provider Information

NPI Number	:	1396727970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. NICHOLAS J MANNO MD

Provider Business Mailing Address
First Line	:	2825 GLENWOOD AVE
Second Line	:
City	:	ROCKFORD
State	:	IL
Zip	:	61101-3542
Country	:	US
Telephone Number	:	815-965-9548
Fax Number	:	815-965-9712

Provider Business Practice Location Address
First Line	:	2825 GLENWOOD AVE
Second Line	:
City	:	ROCKFORD
State	:	IL
Zip	:	61101-3542
Country	:	US
Telephone Number	:	815-965-9548
Fax Number	:	815-965-9712

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

Provider Enumeration Date	:	11/18/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1043277841 — PIROJNA JANTRA MD
Practice Location Address:

2825 GLENWOOD AVE
ROCKFORD, IL
61101-3542

Practice Phone: 815-965-9712
Practice Fax:

1548227341 — ROCKFORD REHABILITATION MEDICINE, SC
Practice Location Address:

2825 GLENWOOD AVE
ROCKFORD, IL
61101-3542

Practice Phone: 815-965-9712
Practice Fax:

1285675967 — DR. JAMES DAVID KOEPSELL M.D.
Practice Location Address:

2829 GLENWOOD AVE
ROCKFORD, IL
61101-3542

Practice Phone: 815-962-0633
Practice Fax: 815-962-0142

1043252075 — DALE R GRAY M.D.
Practice Location Address:

2829 GLENWOOD AVE
ROCKFORD, IL
61101-3542

Practice Phone: 815-962-0633
Practice Fax: 815-962-0142

1508895897 — DR. SYED IRFAN M.D.
Practice Location Address:

2819 GLENWOOD AVE
ROCKFORD, IL
61101-3542

Practice Phone: 815-971-4060
Practice Fax: 815-971-9060

1811928716 — JOSE MONTES M.D.
Practice Location Address:

2819 GLENWOOD AVE
ROCKFORD, IL
61101-3542

Practice Phone: 815-971-2000
Practice Fax:

Directions to “ MR. NICHOLAS J MANNO MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.