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

Carly Cooper

Individual provider Physician Assistant · NPI 1144949405

Carly Cooper is a Physician Assistant in Warrenville, Illinois. Qualified in 2023, 3 years ago. Practices with Central Dupage Physician Group, a 1,094-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2022
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Practice location Address checks out

4405 Weaver Pkwy
Warrenville, IL 60555-3269
Phone: (630) 352-5450
Fax: (630) 933-4959
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 304 Randall Rd, Geneva, IL 60134-4200 — (630) 232-0610
  • 25 N Winfield Rd Ste 2202, Winfield, IL 60190-1379 — (630) 352-5450

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085.010051 (IL)

Record details

NPI number1144949405
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 22, 2022
Last updated in NPPESNovember 14, 2025
Certification dateNovember 14, 2025
Mailing address4405 Weaver Pkwy, Warrenville, IL 60555-3269

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Central Dupage Physician Group — 1094 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Warrenville