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Jack W. Lenox, Ltd
Gynecology Physician in Rockford, Illinois
NPI 1164698536

Jack W. Lenox, Ltd is a Gynecology Physician based in Rockford, IL and is specialized in Gynecology. Jack W. Lenox, Ltd practices in Rockford, IL. The NPI Number for Jack W. Lenox, Ltd is 1164698536 and holds a License No. 036068164 (Illinois).

The current practice location address for Jack W. Lenox, Ltd is 1415 E State St Ste 800, Rockford, IL and can be reached out via phone at 815-965-6644 and via fax at 815-965-8974.

Location: 1415 E State St Ste 800, Rockford, IL, 61104-2344
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164698536
Provider Name
Jack W. Lenox, Ltd
Credential
Provider Entity Type
Organization
Address
1415 E State St Ste 800, Rockford, IL, 61104-2344
Phone Number
815-965-6644
Fax Number
815-965-8974
Provider Enumeration Date
05/05/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036068164 05 IL
institution
Provider Business Practice Location Address Details
Address
1415 E State St Ste 800
City
Rockford
State
Illinois
Zip
61104-2344
Phone Number
815-965-6644
Fax Number
815-965-8974
person
Provider Business Mailing Address Details
Address
1415 E State St Ste 800
City
Rockford
State
Illinois
Zip
61104-2344
Phone Number
815-965-6644
Fax Number
815-965-8974
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
207VG0400X
License No.
036068164 (Illinois)
Definition
Definition to come...
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