| Mira Suseno, PHARMD | |
|
2650 Ridge Ave, Evanston, IL 60201-1700 | |
| (847) 570-1021 | |
| Not Available |
| Full Name | Mira Suseno |
|---|---|
| Gender | Female |
| Speciality | Pharmacist - Infectious Diseases |
| Location | 2650 Ridge Ave, Evanston, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487523239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1835I0206X | Pharmacist - Infectious Diseases | 051040649 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mira Suseno, PHARMD 1014 Highland Grove Ct N, Buffalo Grove, IL 60089-7021 Ph: (847) 570-1021 | Mira Suseno, PHARMD 2650 Ridge Ave, Evanston, IL 60201-1700 Ph: (847) 570-1021 |
Vinh Quang Nguyen, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1711 Sherman Ave, Evanston, IL 60201 Phone: 847-328-3105 | |
David Inman, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2491 Howard St, Evanston, IL 60202 Phone: 847-328-9956 Fax: 847-328-9849 | |
Ms. Lynn Boecler, PHARM.D. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Avenue, Evanston Northwestern Healthcare, Evanston, IL 60201 Phone: 847-570-2206 Fax: 847-570-2990 | |
Henry Dunnenberger Iv, PHARMD Pharmacist Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-3119 | |
Kuangwei Huang, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1128 Chicago Ave, Evanston, IL 60202 Phone: 847-869-3520 | |
Blandina Brisku, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2491 Howard St, Evanston, IL 60202 Phone: 847-328-9951 Fax: 847-328-9849 | |
Christina Adriana Magnabosco, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 101 Asbury Ave, Evanston, IL 60202 Phone: 847-905-3300 |