Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eliza Ballen, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1831707298

Eliza Ballen, PHYSICIANASSISTANT is a Physician Assistant in Lake Forest, Illinois. Graduated from Wake Forest University School of Medicine in 2020, 6 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Trained at
Wake Forest University School of Medicine
Licensed in
IL
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1000 N Westmoreland Rd
Lake Forest, IL 60045-1658
Phone: (847) 582-2134
Fax: (847) 535-7285
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085007728 (IL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 085.007728 (IL)

Record details

NPI number1831707298
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedJuly 21, 2020
Last updated in NPPESNovember 7, 2024
Certification dateNovember 7, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Lake Forest