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Organization
BY YOUR SIDE NORTH CAROLINA, LLC
Active
Organization
BY YOUR SIDE NORTH CAROLINA, LLC
Active
Other names
By Your Side
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY KOZICKI (BILLING CONTRACTING MANAGER)
(630) 590-5571
Entity
Organization
Contact information
Practice address
8201 CASS AVE, DARIEN, IL 60561-5314
(630) 590-5571
Mailing address
8201 CASS AVE, DARIEN, IL 60561-5314
(630) 590-5571
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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