Individual provider · Type 1 NPI

Elizabeth K. Randolph, PA-C

Physician Assistant · Lake Forest, IL

NPI number 1083962229 Active

Practice location

1000 N Westmoreland Rd # LEVEL1
Lake Forest, IL 60045-1658

Fax (847) 535-7151

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085004395 (IL)
Medical Physician Assistant 363AM0700X085004395 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1083962229

Elizabeth K. Randolph, PA-C's National Provider Identifier is 1083962229, issued on Aug 20, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Lake Forest, IL. The record was last updated on Feb 4, 2026.