person
Lea Fucydzy Kioutas, MD
General Practice Physician in Huntley, Illinois
NPI 1316277569

Lea Fucydzy Kioutas is a General Practice Physician based in Huntley, IL. Lea Fucydzy Kioutas practices in Huntley, IL and has the professional credentials of MD. The NPI Number for Lea Fucydzy Kioutas is 1316277569 and holds a License No. 36-054274 (Illinois).

The current practice location address for Lea Fucydzy Kioutas is 13100 Vineyard Dr, Huntley, IL and can be reached out via phone at 847-814-4007 and via fax at 847-814-4007.

Location: 13100 Vineyard Dr, Huntley, IL, 60142
person
Provider Profile Details
NPI Number
1316277569
Provider Name
Lea Fucydzy Kioutas
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
13100 Vineyard Dr, Huntley, IL, 60142
Phone Number
847-814-4007
Fax Number
847-814-4007
Provider Enumeration Date
01/12/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13100 Vineyard Dr
City
State
Zip
60142
Phone Number
847-814-4007
Fax Number
847-814-4007
person
Provider Business Mailing Address Details
Address
13100 Vineyard Dr
City
State
Zip
60142
Phone Number
847-814-4007
Fax Number
847-814-4007
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
36-054274 (Illinois)
Definition
Definition to come...
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