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

Carly Cooper, APRN

Individual provider Family Nurse Practitioner · NPI 1063172617

Carly Cooper, APRN is a Nurse Practitioner in Lake Forest, Illinois. Qualified in 2019, 7 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2021
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

1000 N Westmoreland Rd
Lake Forest, IL 60045-1658
Phone: (847) 234-5600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209021184 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209021184 (IL)

Record details

NPI number1063172617
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedDecember 22, 2021
Last updated in NPPESMarch 31, 2022
Certification dateMarch 31, 2022
Mailing address1000 N Westmoreland Rd # Level1, Lake Forest, IL 60045-1658

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations20 on file with Medicare

Other providers in Lake Forest