Individual provider · Type 1 NPI
Mira Suseno, PharmD
Infectious Diseases Pharmacist · Evanston, IL
NPI number
1487523239
Active
Practice location
2650 Ridge Ave
Evanston, IL 60201-1700
Mailing address
1014 Highland Grove Ct N
Buffalo Grove, IL 60089-7021
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Infectious Diseases Pharmacist Primary | 1835I0206X | 051040649 (IL) |
Infectious Diseases Pharmacist: 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.
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About NPI 1487523239
Mira Suseno, PharmD's National Provider Identifier is 1487523239, issued on Oct 31, 2025. The primary taxonomy on file is Infectious Diseases Pharmacist (1835I0206X), and the practice location is in Evanston, IL. The record was last updated on Oct 31, 2025.