Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK W LENOX, M.D.
Active Sole ProprietorJACK W LENOX, M.D. is a Gynecology healthcare provider located in ROCKFORD, Illinois. NPI 1508979345 is currently active in the NPPES registry. Verify at CMS.
Gynecology · ROCKFORD, IL
Registration Details
- NPI Number
- 1508979345
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 16, 2006 (20.017197602739 yrs)
- Last Updated
- Dec 27, 2020
- License
-
03608164 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1235 N MULFORD RDSTE 200ROCKFORD, IL, 611073879Browse IL providers · Browse ZIP 61107
- Phone
- 8159656644
- Fax
- 8159652901
- Primary Specialty
-
Gynecology
207VG0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.