Cc Lake INC
NPI #1396205621 in Glenview, Illinois
Provider Information
- NPI Number
- 1396205621
- Entity Type
- Organization
- Organization Name
- Cc Lake INC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Mar 22, 2019
- Last Updated
- Oct 24, 2025
Practice Location
Authorized Official
- Name
- TOMEK J KOSZYLKO
- Title
- COUNSEL
- Phone
- (312) 803-8443
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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