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MIRA SUSENO PHARMD
NPI 1487523239
Pharmacist - Infectious Diseases in Evanston, IL

Active since October 31, 2025
2650 RIDGE AVE, EVANSTON, IL 60201(847) 570-1021 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mira Suseno Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRA SUSENO PHARMD (NPI 1487523239) is an individual infectious diseases provider in Evanston, Illinois, licensed in Illinois (051040649) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1487523239
Entity TypeIndividualFemale
Primary Taxonomy1835I0206X
Provider Legal NameMIRA SUSENOCredential: PHARMD
Location Address2650 RIDGE AVEEvanston, IL 60201-1700
Mailing Address1014 Highland Grove Ct NBuffalo Grove, IL 60089-7021 · (847) 570-1021
Phone(847) 570-1021
Sole ProprietorNo
Enumeration DateOctober 31, 2025
NPPES CertifiedOctober 31, 2025
✔ NPI 1487523239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Infectious DiseasesPharmacy Service Providers
Taxonomy Code1835I0206X
License✔ Licensed in IL · 051040649
Definition
A licensed pharmacist who has demonstrated specialized knowledge and skill in the use of microbiology and pharmacology to develop, implement, and monitor drug regimens that incorporate antimicrobials to optimize therapy for patients.
2650 RIDGE AVE, Evanston, IL 60201
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THOMAS LEE CIBULL M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
2650 RIDGE AVE, EVANSTON HOSPITAL
EVANSTON, IL 60201
Cook County (847) 570-2040
DR. DANIEL K. WEST MD
Radiology (Diagnostic Radiology)
2650 RIDGE AVE, DEPARTMENT OF RADIOLOGY, G507
EVANSTON, IL 60201
Cook County (847) 570-2475
JOEL BERNSTEIN M.D.
Radiology (Diagnostic Radiology)
2650 RIDGE AVE, EVANSTON HOSPITAL
EVANSTON, IL 60201
Cook County (847) 570-1206
MATTHEW R. SHERWOOD MD
Internal Medicine
2650 RIDGE AVE, DIVISION OF INTERNAL MEDICINE RM 4324
EVANSTON, IL 60201
Cook County (847) 570-1010
MICHAEL T. GILLAM M.D.
Emergency Medicine
2650 RIDGE AVE, EMERGENCY MEDICINE RM G909
EVANSTON, IL 60201
Cook County (847) 570-2114
MARLENE ANGELICO CNP
Nurse Practitioner (Acute Care)
2650 RIDGE AVE, EMERGENCY MEDICINE, RM G903C
EVANSTON, IL 60201
Cook County (847) 570-1355
DR. SADIE ANNE LAPONSIE M.D.
Pediatrics
2650 RIDGE AVE
EVANSTON, IL 60201
Cook County (847) 570-2000
ANNE PEIFFER MD
Obstetrics & Gynecology
2650 RIDGE AVE
EVANSTON, IL 60201
Cook County (847) 570-3624

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mira Suseno's NPI number?

The NPI number for Mira Suseno is 1487523239. It was assigned to this individual provider in the NPPES registry on October 31, 2025.

Where is Mira Suseno located?

Mira Suseno practices at 2650 Ridge Ave, Evanston, IL 60201. The listed phone number is (847) 570-1021.

What is Mira Suseno's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Infectious Diseases, with taxonomy code 1835I0206X.

When was this NPI record last updated?

The NPPES record for Mira Suseno was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.