Eliza Ballen, PHYSICIAN ASSISTANT
NPI 1831707298ActiveIndividual· Physician Assistant· Lake Forest, IL
Physician Assistant (PHYSICIAN ASSISTANT) in Lake Forest, Illinois, trained at Wake Forest University School of Medicine (class of 2020). Enrolled in Medicare as practitioner - physician assistant.
Overview
| NPI | 1831707298 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHYSICIAN ASSISTANT |
| Sole proprietor | Yes |
| NPI issued | Jul 21, 2020 |
| Last updated in NPPES | Nov 7, 2024 |
| Certified by provider | Nov 7, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 085007728 | IL |
| Physician Assistant, Medical | 363AM0700X | 085.007728 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (IL) |
|---|
Education and affiliations
| Medical school | Wake Forest University School of Medicine |
|---|---|
| Graduation year | 2020 |
| Medicare specialty | Physician Assistant |
Medical group
- Northwestern Medical Faculty FoundationChicago, IL · 4,503 clinicians
Hospital affiliation
- Northwestern Lake Forest HospitalLake Forest, IL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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