JACK W LENOX (NPI# 1508979345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508979345 |
| Entity Type | Individual |
| Full Name | JACK W LENOX |
| Credential | M.D. |
| Practice Address |
1415 E State St Suite 800 Rockford IL 61104-2333 |
| Practice Telephone | 8159656644 |
| Practice Fax Number | 8159652901 |
| Mailing Telephone | 8159656644 |
| Mailing Fax Number | 8159652901 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
03608164 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 03608164 | 05 | |
| BLUECROSS | 10100643 | 01 |
| Street Address |
1415 E STATE ST SUITE 800 |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61104-2333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962457499 | Lynn Mary Kutsche | Pediatrics | 1415 E State St, Suite 601, Rockford, IL 61104 | 2006-05-23 |
| 1558803791 | Jacquelyn Saengmany | Registered Nurse | 1415 E State St, 800, Rockford, IL 61104-2333 | 2016-11-04 |
| 1306280433 | Swedishamerican Hospital | Nurse Practitioner | 1415 E State St, 8th Floor, Rockford, IL 61104 | 2013-04-19 |
| 1508105313 | Aspen Counseling & Consulting | Clinic/Center | 1415 E State St, Suite 900, Rockford, IL 61104-2333 | 2013-02-14 |
| 1801133053 | Richard Radostits | Hearing Instrument Specialist | 1415 E State St, Rockford, IL 61104-2333 | 2013-01-08 |
| 1174876841 | Connect Hearing, Inc. | Audiologist | 1415 E State St, Suite A1, Rockford, IL 61104-2333 | 2012-10-18 |
| 1891056958 | Shaunna Susanne Schuldt | Hearing Instrument Specialist | 1415 E State St, Ste A1, Rockford, IL 61104-2333 | 2012-06-06 |
| 1942437785 | Linda J Dries | Clinical Nurse Specialist | 1415 E State St, Suite 700, Rockford, IL 61104-2333 | 2009-06-19 |
| 1235306283 | Brenda K Beard | Social Worker | 1415 E State St, Rockford, IL 61104-2333 | 2008-05-09 |
| 1053586438 | Arturo S. Manas, Ltd | Obstetrics & Gynecology | 1415 E State St, Suite 800, Rockford, IL 61104-2333 | 2008-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699216564 | Swedishamerican Hospital | Nutritionist | 1415 E. State St., Lower Level A3, Rockford, IL 61104 | 2017-03-13 |
| 1376950485 | Swedishamerican Hospital | Nurse Practitioner | 1340 Charles St Ste 200, Rockford, IL 61104 | 2014-07-21 |
| 1871907774 | Oday Alsarraf | Psychiatry & Neurology | 1401 E State Street, Center for Mental Health, Swedish American Hospital, Rockford, IL 61104 | 2014-06-18 |
| 1962652339 | Children's Home and Aid | Community/Behavioral Health | 424 7th St, Rockford, IL 61104 | 2008-09-23 |
| 1689729535 | Swedishamerican Hospital | Nurse Practitioner | 1340 Charles St Ste 100, Rockford, IL 61104 | 2007-01-23 |
| 1790873016 | David J Schleicher | Obstetrics & Gynecology | 209 9th St Ste 200, Rockford, IL 61104 | 2006-10-11 |
| 1013026624 | Thomas Ryan Moss | Dentist | 1415 E State Street, Rockford, IL 61104 | 2006-08-29 |
| 1366452096 | Arturo Santiago Manas | Obstetrics & Gynecology | 1415 E State St Fl 8, Rockford, IL 61104 | 2006-08-08 |
| 1245263268 | William John Stout | Physician Assistant | 1401 E State Street, Rockford, IL 61104 | 2006-07-10 |
| 1689604969 | Prabha Chand Dosi | Pediatrics | 1401 E. State Street, Rockford, IL 61104 | 2006-07-03 |
| Find all providers in zip 61104 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164698536 | Jack W. Lenox, Ltd | Obstetrics & Gynecology | 1415 E State St Ste 800, Rockford, IL 61104-2344 | 2008-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477167112 | Omnidoc Health Inc | Obstetrics & Gynecology | 351 Greenleaf St Ste E, Park City, IL 60085-5701 | 2020-09-01 |
| 1396142857 | Illinois Institute of Gynecology and Advanced Pelvic Surgery, Sc | Obstetrics & Gynecology | 1351 W Belmont Ave, Chicago, IL 60657-7195 | 2014-11-28 |
| 1902171325 | Womens Health Institute of Illinois Ltd | Obstetrics & Gynecology | 10762 W 167th St, Orland Park, IL 60467-5434 | 2012-03-19 |
| 1609148303 | Archimedes Sison Diamante | Obstetrics & Gynecology | 949 N Euclid Ave, Oak Park, IL 60302-1319 | 2012-01-27 |
| 1376821025 | Prairieview Gyn LLC | Obstetrics & Gynecology | 3929 Morgan Trl, Bourbonnais, IL 60914-4738 | 2011-07-29 |
| 1932493236 | Integrative Medical Options LLC | Obstetrics & Gynecology | 305 N. 2nd St, St. Charles, IL 60174 | 2011-06-03 |
| 1477715142 | Michel Medical Assoc., S.c. | Obstetrics & Gynecology | 2600 S Michigan Ave Ste 314, Chicago, IL 60616-2860 | 2008-06-25 |
| 1477727550 | All Women's Medical Center | Obstetrics & Gynecology | 3140 W Irving Prk. Rd, Chicago, IL 60618 | 2008-04-18 |
| 1053581371 | S L Fuentes Md D M Milanes Md Sc | Obstetrics & Gynecology | 107 Center St, Grayslake, IL 60030-1532 | 2008-03-03 |
| 1477731784 | Marianna Vardaka Md Inc | Obstetrics & Gynecology | 1087 Solutions Ctr, Chicago, IL 60677-1000 | 2008-02-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.