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Search › Illinois › 208000000X

Sirisak Suntharasantic, MD

NPI 1114083888 · on the registry since 2006

Practice

Address
4 Memorial Dr Ste 210
Alton, IL 62002
Phone
(618) 463-0649
Fax
(618) 463-3390
Organisation at this address
Pediatric Healthcare Unlimited
Southern Illinois Health Care Foundation, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
73

Registry record

Primary taxonomy
208000000X
208000000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-05-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois