IndividualActive
Adam Souchik, MD
NPI 1205464146 · Dermatology Physician · Maywood, IL
Provider details
- NPI number
- 1205464146
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
2160 S 1st Ave
Fahey Bldg./Room 101
Maywood, IL 60153-3328
Phone: (708) 216-4962
Fax: (708) 216-2444
Approximate (ZIP-level) locationGet directions
Mailing address
1475 Granary Rd
Blue Bell, PA 19422-2155
Additional practice locations (1)
- 549 Fair St # Mc61-22Bloomsburg, PA 17815-1419Phone: (570) 416-1925
Registry dates
- Enumerated
- 2020-03-27
- Last updated
- 2021-06-21
- Certified
- 2021-06-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.