IndividualActive
Mira Suseno, PHARMD
NPI 1487523239 · Infectious Diseases Pharmacist · Evanston, IL
Mira Suseno, PHARMD is a Infectious Diseases Pharmacist provider in Evanston, IL (NPI 1487523239).
Provider details
- NPI number
- 1487523239
- Entity type
- Individual
- Primary specialty
- Infectious Diseases PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- 051040649 (IL)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2650 Ridge Ave
Evanston, IL 60201-1700
Phone: (847) 570-1021
Street-level locationGet directions
Mailing address
1014 Highland Grove Ct N
Buffalo Grove, IL 60089-7021
Registry dates
- Enumerated
- 2025-10-31
- Last updated
- 2025-10-31
- Certified
- 2025-10-31
Frequently asked questions
- What is Mira Suseno's NPI number?
- Mira Suseno's National Provider Identifier (NPI) is 1487523239, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mira Suseno's specialty?
- Mira Suseno is listed in the NPPES registry with a primary specialty of Infectious Diseases Pharmacist (Pharmacy Service Providers).
- Where is Mira Suseno located?
- Mira Suseno's practice location on file with NPPES is 2650 Ridge Ave, Evanston, IL 60201-1700.
- What is Mira Suseno's phone number?
- The practice phone number listed in the NPPES registry for Mira Suseno is (847) 570-1021.
- Is Mira Suseno's NPI active?
- Yes — Mira Suseno's NPI (1487523239) is active in the NPPES registry as of the last update on 2025-10-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.