1. Home
  2. Directory
  3. Illinois
  4. Northlake
  5. Assisted Living Facility
  6. NPI Profile

CONCORD PLACE
NPI 1053586552
Assisted Living Facility in Northlake, IL

Active since April 25, 2008CLIA 14D2196556 · Waiver
401 W LAKE ST, NORTHLAKE, IL 60164(708) 562-9000(708) 409-2750 Get Directions Write a Review

NPPES record last updated: April 25, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Concord Place NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONCORD PLACE (NPI 1053586552) is a healthcare organization registered as an assisted living facility in Northlake, Illinois and active in the NPI registry since April 2008. The organization holds a CLIA Waiver certificate valid through October 18, 2026 and lists Sheryl Cohen, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1053586552
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameINTERNATIONAL HEALTH SYSTEMS
Location Address401 W LAKE STNorthlake, IL 60164-2435
Mailing Address401 W Lake StNorthlake, IL 60164-2435 · (708) 562-9000 · Fax (708) 409-2750
Phone(708) 562-9000
Fax(708) 409-2750
Organization SubpartNo
Authorized OfficialSheryl CohenExecutive Director · (708) 562-9000
Enumeration DateApril 25, 2008
✔ NPI 1053586552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
401 W LAKE ST, Northlake, IL 60164
Open in Google Maps ↗

Other Names 1

Doing Business AsConcord Place

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2196556

Concord Place · Northlake, IL
Active · expires Oct 18, 2026
CLIA Number14D2196556
Laboratory TypeSupportive Living
Certificate Effective DateOctober 19, 2024
Certificate Expiration DateOctober 18, 2026
Laboratory DirectorDavid Pokorny
Laboratory Phone(708) 562-9000
Laboratory LocationConcord Place401 West Lake St, Northlake, IL 60164
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KRISTINA RENEE PARRO SLP
Speech-Language Pathologist
401 W LAKE ST
NORTHLAKE, IL 60164
Cook County (779) 901-0298
DIVINE PROVIDENCE OUTPATIENT THERAPY SERVICES, LLC
Clinic/Center (Rehabilitation)
401 W LAKE ST, SUITE B-101 CONCORD PLACE
NORTHLAKE, IL 60164
Cook County (773) 433-3320
DENICE SYKES
Occupational Therapy Assistant
401 W LAKE ST
NORTHLAKE, IL 60164
Cook County (855) 477-5627
PRIME CARE LTC CONSULTING INC
Internal Medicine
401 W LAKE ST
NORTHLAKE, IL 60164
Cook County (708) 409-2318
ELENA EVERHART
Speech-Language Pathologist
401 W LAKE ST
NORTHLAKE, IL 60164
Cook County (708) 223-0494
KYLE TANZILLO MOT, OTR/L
Occupational Therapist
401 W LAKE ST
NORTHLAKE, IL 60164
Cook County (708) 365-9251
KAITLYN DANIELLE VESEVICK AGPCNP-BC, DNP
General Practice
401 W LAKE ST
NORTHLAKE, IL 60164
Cook County (630) 640-9460
POWERBACK REHABILITATION LLC
Clinic/Center (Rehabilitation)
401 W LAKE ST
NORTHLAKE, IL 60164
Cook County (708) 384-8073

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is International Health Systems's NPI number?

The NPI number for International Health Systems is 1053586552. It was assigned to this organization in the NPPES registry on April 25, 2008. The provider is doing business as Concord Place.

Where is International Health Systems located?

International Health Systems is located at 401 W Lake St, Northlake, IL 60164. The listed phone number is (708) 562-9000.

What is International Health Systems's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does International Health Systems hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2196556) is associated with this NPI, valid through October 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for International Health Systems was last updated on April 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.