Souchik, Adam David

Souchik, Adam David is an individual health care provider with primary practice located at 2160 S 1St Ave Fahey Bldg./Room 101, Maywood IL 60153-3328. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Souchik, Adam David can be contacted via phone (708) 216-4962.

Contact Information

Primary practice address
2160 S 1St Ave Fahey Bldg./Room 101 Maywood IL 60153-3328
Phone: (708) 216-4962
Fax: (708) 216-2444
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 125077603 Illinois

Profile Details

NPI number 1205464146
LBN Legal business name Souchik, Adam David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2020
Last updated Jun 21st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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