Provider Demographics
NPI:1861830358
Name:SUNDQUIST, SANNA MARGARETA (MD)
Entity Type:Individual
Prefix:DR
First Name:SANNA
Middle Name:MARGARETA
Last Name:SUNDQUIST
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2900 FRANK SCOTT PKWY W
Mailing Address - Street 2:#950
Mailing Address - City:BELLEVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62223-5000
Mailing Address - Country:US
Mailing Address - Phone:618-233-3205
Mailing Address - Fax:618-233-1407
Practice Address - Street 1:2900 FRANK SCOTT PKWY W
Practice Address - Street 2:#950
Practice Address - City:BELLEVILLE
Practice Address - State:IL
Practice Address - Zip Code:62223-5000
Practice Address - Country:US
Practice Address - Phone:618-233-3205
Practice Address - Fax:618-233-1407
Is Sole Proprietor?:No
Enumeration Date:2013-06-06
Last Update Date:2016-07-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
IL036-140016208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program