Individual provider · Type 1 NPI
Lea Fucydzy Kioutas, MD
General Practice Physician · Huntley, IL
NPI number
1316277569
Active
Practice location
13100 Vineyard Dr
Huntley, IL 60142
Fax (847) 814-4007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 36-054274 (IL) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1316277569
Lea Fucydzy Kioutas, MD's National Provider Identifier is 1316277569, issued on Jan 12, 2010. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Huntley, IL. The record was last updated on Jan 12, 2010.