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

Cc Lake LLC

Organization Assisted Living Facility · NPI 1396205621

Cc Lake LLC is an Assisted Living Facility in Glenview, Illinois. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2401 Indigo Ln
Glenview, IL 60026-1299
Phone: (847) 904-4600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1396205621
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tomek Koszylko — Counsel · (312) 803-8443
Other names Vi At The Glen
NPI enumeratedMarch 22, 2019
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026
Mailing address233 S Wacker Dr Ste 8400, Chicago, IL 60606-6316