Organization · Type 2 NPI

CC Lake LLC

Skilled Nursing Facility · Glenview, IL

NPI number 1649220906 Active

Practice location

2401 Indigo Ln
Glenview, IL 60026-1299

Fax (847) 904-4705

Mailing address

233 S Wacker Dr Ste 8400
Chicago, IL 60606-6316

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X1705143 (IL)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1649220906

CC Lake LLC's National Provider Identifier is 1649220906, issued on May 10, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Glenview, IL. The record was last updated on Jun 1, 2026.