Search › Illinois › 1223X0400X
Mira Suvagia, DMD, MS
NPI 1427889856 · on the registry since 2024
Practice
- Address
- 1137 N Prospect Ave # C101
Itasca, IL 60143 - Phone
- (630) 338-7740
Additional practice sites
- 1460 N Halsted St Ste 403, Chicago, IL
- 4938 S Kedzie Ave, Chicago, IL
Registry record
- Primary taxonomy
- 1223X0400X
1223X0400X
- Also registered as
- 122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-03-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois