Female

Carly Cooper APRN

Nurse Practitioner in Lake Forest, IL(View on Map)

Full Name

Carly Cooper APRN

NPI Number

1063172617

NPI Type

Individual Provider

Gender

Female

Enumeration Date

12/22/2021

Specialties

(Taxonomies)

Code

363L00000X
363LF0000X

Primary Taxonomy

Yes
No

Licenses

State

Illinois

License Number

209021184

Contact
Information

Purpose

Mailing
Location

Address

1000 N WESTMORELAND RD # LEVEL1
1000 N WESTMORELAND RD

City

Lake Forest
Lake Forest

State

IL
IL

Postal Code

60045-1658
60045-1658

Country

US
US

Telephone Number

(847) 534-3278
(847) 234-5600

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/31/2022

Provider Address

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