Adam David Souchik, MD

NPI #1205464146 in Maywood, Illinois

Provider Information

NPI Number: 1205464146
Entity Type: Individual
Name: Adam David Souchik, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: MD
Enumeration Date: Mar 27, 2020
Last Updated: Jun 21, 2021

Practice Location

Address: 2160 S 1ST AVE
Address 2: FAHEY BLDG./ROOM 101
City: Maywood
State: Illinois
ZIP Code: 60153-3328
Phone: (708) 216-4962

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dermatology	207N00000X	Primary

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