Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Adam David Souchik, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205464146

Adam David Souchik, MD is a Dermatology in Maywood, Illinois. Qualified in 2020, 6 years ago. Practices with Vitalskin Medical Group Il PLLC, a 56-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2160 S 1st Ave Fahey Bldg./room 101
Maywood, IL 60153-3328
Phone: (708) 216-4962
Fax: (708) 216-2444
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 549 Fair St # Mc61-22, Bloomsburg, PA 17815-1419 — (570) 416-1925

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 125077603 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1205464146
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2020
Last updated in NPPESJune 21, 2021
Certification dateJune 21, 2021
Mailing address1475 Granary Rd, Blue Bell, PA 19422-2155

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Vitalskin Medical Group Il Pllc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Maywood