DR. SIRISAK SUNTHARASANTIC MD
NPI 1114083888
Pediatrics in Alton, IL

Active since December 28, 2006
4 MEMORIAL DR STE 210, ALTON, IL 62002(618) 463-0649(618) 463-3390 Get Directions Write a Review

NPPES record last updated: May 3, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Sirisak Suntharasantic Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SIRISAK SUNTHARASANTIC MD (NPI 1114083888) is an individual pediatrics provider in Alton, Illinois, licensed in Illinois (036048367) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1114083888
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. SIRISAK SUNTHARASANTICCredential: MD
Location Address4 MEMORIAL DR STE 210Alton, IL 62002-6751
Mailing Address4 Memorial Dr Ste 210Alton, IL 62002-6751 · (618) 463-0649 · Fax (618) 463-3390
Fax(618) 463-3390
Sole ProprietorNo
Enumeration DateDecember 28, 2006
Last NPPES UpdateMay 3, 2018
NPI 1114083888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in IL · 036048367
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

4 MEMORIAL DR STE 210, Alton, IL 62002

Other Names 1

Professional Name (2)Dr. Sirisak Sun Md

Other Identifiers 1

Medicaid036048367IL

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
4 MEMORIAL DR STE 210
ALTON, IL 62002
Nurse Practitioner (Adult Health)
4 MEMORIAL DR STE 210
ALTON, IL 62002
Clinic/Center (Federally Qualified Health Center (FQHC))
4 MEMORIAL DR STE 210
ALTON, IL 62002
Counselor (Professional)
4 MEMORIAL DR STE 210
ALTON, IL 62002
Pediatrics
4 MEMORIAL DR STE 210
ALTON, IL 62002
Family Medicine
4 MEMORIAL DR STE 210
ALTON, IL 62002
Obstetrics & Gynecology
4 MEMORIAL DR STE 210
ALTON, IL 62002
Counselor (Mental Health)
4 MEMORIAL DR STE 210
ALTON, IL 62002

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114083888, enumerated as an "individual" on December 28, 2006.

The provider is located at 4 MEMORIAL DR STE 210 ALTON, IL 62002 and the phone number is (618) 463-0649.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.