Mira Suseno, PHARMD
NPI 1487523239ActiveIndividual· Pharmacist, Infectious Diseases· Evanston, IL
Pharmacist, Infectious Diseases (PHARMD) in Evanston, Illinois, licensed in IL, with an NPI issued in October 2025.
Overview
| NPI | 1487523239 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHARMD |
| Sole proprietor | No |
| NPI issued | Oct 31, 2025 |
| Last updated in NPPES | Oct 31, 2025 |
| Certified by provider | Oct 31, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist, Infectious Diseases Primary | 1835I0206X | 051040649 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|