Lea Fucydzy Kioutas, MD is a
General Practice physician based in Huntley, Illinois. Lea Fucydzy Kioutas is licensed to practice in Illinois (license number 36-054274) and her current practice location is 13100 Vineyard Dr, Huntley, Illinois. She can be reached at her office (for appointments etc.) via phone at
(847) 814-4007.
NPI number for Lea Fucydzy Kioutas is 1316277569 and her current mailing address is 13100 Vineyard Dr, Huntley, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316277569.
Physician's Profile
Full Name | Lea Fucydzy Kioutas |
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Gender | Female |
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Speciality | General Practice |
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Location | 13100 Vineyard Dr, Huntley, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1316277569
- Provider Enumeration Date: 01/12/2010
- Last Update Date: 01/12/2010
Medical Identifiers
Medical identifiers for Lea Fucydzy Kioutas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316277569 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 36-054274 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lea Fucydzy Kioutas is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lea Fucydzy Kioutas, MD 13100 Vineyard Dr, Huntley, IL 60142 Ph: () - | Lea Fucydzy Kioutas, MD 13100 Vineyard Dr, Huntley, IL 60142 Ph: (847) 814-4007 |
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