| Carly Cooper, | |
|
4405 Weaver Pkwy, Warrenville, IL 60555-3269 | |
| (630) 352-5450 | |
| (630) 933-4959 |
| Full Name | Carly Cooper |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 4405 Weaver Pkwy, Warrenville, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144949405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085.010051 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwestern Medicine Central Dupage Hospital | Winfield, IL | Hospital |
| Northwestern Medicine Delnor Community Hospital | Geneva, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Dupage Physician Group | 5890696231 | 1087 |
| Entity Name | Northwestern Medical Faculty Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
| Entity Name | Central Dupage Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
| Mailing Address | Practice Location Address |
|---|---|
| Carly Cooper, 4405 Weaver Pkwy, Warrenville, IL 60555-3269 Ph: (630) 352-5450 | Carly Cooper, 4405 Weaver Pkwy, Warrenville, IL 60555-3269 Ph: (630) 352-5450 |
Daniel J. O'donnell, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 27650 Ferry Rd, Warrenville, IL 60555 Phone: 630-225-2663 Fax: 630-225-2399 |
Marissa Marcheski, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4405 Weaver Pkwy, Warrenville, IL 60555 Phone: 630-352-5450 Fax: 630-352-5499 |
Anna Navigato, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 27650 Ferry Rd Ste 100, Warrenville, IL 60555 Phone: 630-225-2663 Fax: 630-225-2399 |
Meghan Elizabeth Hanewall, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4405 Weaver Pkwy, Warrenville, IL 60555 Phone: 630-352-5450 Fax: 630-933-4959 |
Lauren Marie Weston, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4405 Weaver Pkwy, Warrenville, IL 60555 Phone: 773-758-6516 |
Christopher B. Ferron, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4201 Winfield Rd, Warrenville, IL 60555 Phone: 630-646-3309 Fax: 630-548-6832 |
Ms. Kelly A Omsberg, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 27650 Ferry Rd, Suite 100, Warrenville, IL 60555 Phone: 630-225-2663 Fax: 630-225-2399 |