Jack W. Lenox, LTD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

036068164 Issued in IL

Legal business name

JACK W. LENOX, LTD

Practice address

1415 E State St Ste 800
Rockford, IL 61104-2344

Phone

(815) 965-6644

Fax

(815) 965-8974

NPI assigned

May 5, 2008

Last updated

May 6, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jack W LenoxNPI 1508979345

Title

President

Phone

(815) 965-6644

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jack W Lenox, M.D.

  • Gynecology Physician
  • Rockford, IL
  • NPI 1508979345
  Authorized official Same address or phone
• Jeanne Marie Chupich, APN

  • Women's Health Clinical Nurse Specialist
  • Rockford, IL
  • NPI 1922369958
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1164698536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 E STATE ST STE 800",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611042344",
            "telephone_number": "815-965-6644",
            "fax_number": "815-965-8974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 E STATE ST STE 800",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611042344",
            "telephone_number": "815-965-6644",
            "fax_number": "815-965-8974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK W. LENOX, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "LENOX",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-965-6644"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "IL",
            "license": "036068164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036068164",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren A Ives, M.D.
• Steven C Ives Sr., DDS
• Radha Iyengar
• J&J Journey Counseling Service PLLC
• Jack W. Lenox (Lenox Healthcare for Women)
• Cynthia Ann Jack, NP
• Carly Anne Jackson, PA-C
• Dmeka Jackson
• Jill A Jackson, PT
• Neha Jackson

• Gynecology Physician in Rockford, IL
• Providers in Rockford, IL by specialty
• Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.