Individual
ELIZABETH K RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 N WESTMORELAND RD # LEVEL1, LAKE FOREST, IL 60045-1658
(312) 695-1800
(847) 535-7151
Mailing address
1000 N WESTMORELAND RD # LEVEL1, LAKE FOREST, IL 60045-1658
(312) 695-1800
(847) 535-7151
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085004395
IL
363AM0700X
Medical Physician Assistant
085004395
IL
Other
Enumeration date
08/20/2012
Last updated
02/04/2026
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