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JACK W. LENOX, LTD
NPI 1164698536
Obstetrics & Gynecology - Gynecology in Rockford, IL

Active since May 05, 2008
1415 E STATE ST STE 800, ROCKFORD, IL 61104(815) 965-6644(815) 965-8974 Get Directions Write a Review

NPPES record last updated: May 6, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jack W. Lenox, Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK W. LENOX, LTD (NPI 1164698536) is a healthcare organization registered as a gynecology in Rockford, Illinois and active in the NPI registry since May 2008. The organization lists Jack W Lenox, President, as its authorized official.

NPPES Registry Identity

NPI1164698536
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameJACK W. LENOX, LTD
Location Address1415 E STATE ST STE 800Rockford, IL 61104-2344
Mailing Address1415 E State St Ste 800Rockford, IL 61104-2344 · (815) 965-6644 · Fax (815) 965-8974
Phone(815) 965-6644
Fax(815) 965-8974
Organization SubpartNo
Authorized OfficialJack W LenoxPresident · (815) 965-6644
Enumeration DateMay 5, 2008
Last NPPES UpdateMay 6, 2008
✔ NPI 1164698536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in IL · 036068164
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
1415 E STATE ST STE 800, Rockford, IL 61104
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Other Identifiers 3

Medicare UPIND16044IL
Medicaid036068164IL
Medicare PIN203795IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MONESA CATHERINE VU PHARMD
Pharmacist
1415 E STATE ST STE 800
ROCKFORD, IL 61104
Winnebago County (779) 696-9204
DR. KAMOLCHANOK DEER CHEUNG PHARMD
Pharmacy (Specialty Pharmacy)
1415 E STATE ST STE 800
ROCKFORD, IL 61104
Winnebago County (779) 696-9204
MARCO ANTONIO MARTINEZ MD
Obstetrics & Gynecology
1415 E STATE ST STE 800
ROCKFORD, IL 61104
Winnebago County (779) 696-9120
CHENELLE RENEE FANOUTH PHARMD
Pharmacist
1415 E STATE ST STE 800
ROCKFORD, IL 61104
Winnebago County (779) 696-9204
ANDREA P ROSSOW APN
Nurse Practitioner (Family)
1415 E STATE ST STE 800
ROCKFORD, IL 61104
Winnebago County (815) 695-6644
JILL WEBERG APRN
Nurse Practitioner (Obstetrics & Gynecology)
1415 E STATE ST STE 800
ROCKFORD, IL 61104
Winnebago County (779) 696-9120

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack W. Lenox, Ltd's NPI number?

The NPI number for Jack W. Lenox, Ltd is 1164698536. It was assigned to this organization in the NPPES registry on May 5, 2008.

Where is Jack W. Lenox, Ltd located?

Jack W. Lenox, Ltd is located at 1415 E State St Ste 800, Rockford, IL 61104. The listed phone number is (815) 965-6644.

What is Jack W. Lenox, Ltd's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

When was this NPI record last updated?

The NPPES record for Jack W. Lenox, Ltd was last updated on May 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.