LEA FUCYDZY KIOUTAS M.D. NPI 1316277569

NPI Information

  • NPI: 1316277569
  • Provider Name: LEA FUCYDZY KIOUTAS, M.D.
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • Address: 13100 VINEYARD DR
    HUNTLEY, IL
    ZIP 60142
  • Phone: (847) 814-4007

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NPI Details

Lea Fucydzy Kioutas, M.D. is a general practice in Huntley, IL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Lea Fucydzy Kioutas, M.D. NPI is 1316277569. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13100 VINEYARD DR
HUNTLEY, IL
ZIP 60142
Phone: (847) 814-4007
Fax: (847) 814-4007

The enumeration date for this NPI number is 1/12/2010 and was last updated on 1/12/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice36-054274ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E30987MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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