Jack W. Lenox

NPI #1841888799 in Rockford, Illinois

Provider Information

NPI Number: 1841888799
Entity Type: Organization
Organization Name: Jack W. Lenox
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Jan 6, 2021
Last Updated: Jan 6, 2021

Practice Location

Address: 1235 N MULFORD RD STE 200
City: Rockford
State: Illinois
ZIP Code: 61107-3879
Phone: (815) 965-6644

Authorized Official

Name: DR. JACK W LENOX, MD
Title: MEDICAL DIRECTOR
Phone: (815) 965-6644

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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