Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carrie L Kopala, PA-C

Individual provider Physician Assistant · NPI 1053371849

Carrie L Kopala, PA-C is a Physician Assistant in Sycamore, Illinois. Qualified in 2005, 21 years ago. Practices with Central Dupage Physician Group, a 1,094-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
21
Licensed in
IL
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1850 Gateway Dr
Sycamore, IL 60178-3192
Phone: (815) 766-9901
Fax: (815) 758-7298
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5 Kish Hospital Dr Ste 104, Dekalb, IL 60115-9602 — (815) 766-9901

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085002659 (IL)

Record details

NPI number1053371849
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 24, 2006
Last updated in NPPESSeptember 28, 2021
Certification dateSeptember 28, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Central Dupage Physician Group — 1094 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Sycamore