| Organization Name: | SURASAK AND SIRIMON |
| NPI Number: | 1356749261 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SURASAK PRATUANGTHAM (PRESIDENT) |
| Mailing Address: | 1222 Lathrop Ave River Forest |
| State: | IL US |
| Postal Code: | 603051116 |
| Phone Number: | 7082186645 |
| Fax Number: | |
| NPI Enumeration Date: | 12/09/2014 |
| NPI Last Update Date: | 12/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2080P0208X |
| License Number: | 036085443 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | Pediatric Infectious Diseases |
| Taxonomy Definition: | A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. |