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

Dr. Sirisak Suntharasantic, MD

Individual provider Pediatrics Physician · NPI 1114083888

Dr. Sirisak Suntharasantic, MD is a Pediatrics Physician in Alton, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4 Memorial Dr Ste 210
Alton, IL 62002-6751
Phone: (618) 463-0649
Fax: (618) 463-3390
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 036048367 (IL)

Record details

NPI number1114083888
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 28, 2006
Last updated in NPPESMay 3, 2018
Mailing address4 Memorial Dr Ste 210, Alton, IL 62002-6751

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