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

Cc Lake LLC

Organization Skilled Nursing Facility · NPI 1649220906

Cc Lake LLC is a Skilled Nursing Facility in Glenview, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2401 Indigo Ln
Glenview, IL 60026-1299
Phone: (847) 904-4710
Fax: (847) 904-4705
Show map & directions

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

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 1705143 (IL)

Record details

NPI number1649220906
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tomek Koszylko — Counsel · (312) 803-8443
Other names Vi At The Glen; Vi At The Glen
NPI enumeratedMay 10, 2006
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026
Mailing address233 S Wacker Dr Ste 8400, Chicago, IL 60606-6316

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