Elizabeth Randolph, P.A.-C

NPI 1689000713 · on the registry since 2013

Practice

Address: 5031 N Illinois St
Fairview Heights, IL 62208
Phone: (618) 212-6800
Organisation at this address: Express Medical Care, Llc
Everside Health Llc Fairview Heights Health Ctr
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 363AM0700X
363AM0700X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2013-09-20

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