Individual
MIRA SUSENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(847) 570-1021
Mailing address
1014 HIGHLAND GROVE CT N, BUFFALO GROVE, IL 60089-7021
(847) 570-1021
Taxonomy
Speciality
Code
Description
License number
State
1835I0206X
Infectious Diseases Pharmacist
Primary
051040649
IL
Other
Enumeration date
10/31/2025
Last updated
10/31/2025
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