OrganizationActive
Surasak and Sirimon
NPI 1356749261 · Pediatric Infectious Diseases Physician · River Forest, IL
Provider details
- NPI number
- 1356749261
- Entity type
- Organization
- Primary specialty
- Pediatric Infectious Diseases PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Surasak Pratuangtham, President(708) 218-6645
- License
- 036085443 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1222 Lathrop Ave
River Forest, IL 60305-1116
Phone: (708) 218-6645
Approximate (ZIP-level) locationGet directions
Mailing address
1222 Lathrop Ave
River Forest, IL 60305-1116
Registry dates
- Enumerated
- 2014-12-09
- Last updated
- 2014-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.