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

Q: What is Sirisak Suntharasantic's NPI number?

The NPI number for Sirisak Suntharasantic is 1114083888. It was assigned to this individual provider in the NPPES registry on December 28, 2006. The provider is also known as Dr. Sirisak Sun MD.

Q: What is Sirisak Suntharasantic's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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: August 09, 2026.

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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

Phone(618) 463-0649

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

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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.

LEE A TARDINO MSN ANP

Nurse Practitioner (Adult Health)