Organization
JACK W. LENOX
Active
Other names
Lenox Healthcare for Women
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK W LENOX MD (MEDICAL DIRECTOR)
(815) 965-6644
Entity
Organization
Contact information
Practice address
1235 N MULFORD RD STE 200, ROCKFORD, IL 61107-3879
(815) 965-6644
Mailing address
1235 N MULFORD RD STE 200, ROCKFORD, IL 61107-3879
(815) 965-6644
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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