Aesthetic and Clinical Dermatology Associates, LTD

Key facts

NPI: 1023067964
Entity type: Organization (NPI type 2)
Primary specialty: Dermatology Physician 207N00000X
License: 042007910 (IL)
Legal business name: AESTHETIC AND CLINICAL DERMATOLOGY ASSOCIATES, LTD
Practice address: 908 N Elm St
Suite 309
Hinsdale, IL 60521-3635
Phone: (630) 455-1756
Fax: (630) 455-1759
NPI assigned: May 8, 2006
Organization subpart: No

Authorized official

Name: Scott L Zahner, M.D.
Title: President
Phone: (630) 455-1756

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Adam David Souchik, MD Dermatology Physician · Maywood, IL · NPI 1205464146

NPD (past) DERMATOLOGY

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
14D0954886	Aesthetic & Clinical Dermatology Associates 908 N Elm Street, Suite 300, Hinsdale, IL 60521	Compliance	Aug 24, 2027

National Provider Directory

Locations

2435 Dean St
Unit 2E
St Charles, IL 60175
Phone (630) 443-7800

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Dermatology Physician Group: 193400000X SINGLE SPECIALTY GROUP	207N00000X	042007910	IL	Yes

Addresses

Primary practice location

908 N Elm St
Suite 309
Hinsdale, IL 60521-3635

Mailing address

908 N Elm St
Ste 300
Hinsdale, IL 60521-3625
Phone (630) 455-1756

Other names

Aesthetic and Clinical Dermatology Associates of Hinsdale, Ltd Former legal business name

Other providers in Hinsdale, IL

All providers in Hinsdale, IL · Dermatology Physician in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2015. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.