# BY YOUR SIDE NORTH CAROLINA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** By Your Side
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740852854
- **Authorized official:** KATHY KOZICKI (BILLING CONTRACTING MANAGER)
- **Authorized official phone:** (630) 590-5571

## Contact information

- **Practice address:** 8201 CASS AVE, DARIEN, IL 60561-5314
- **Practice address phone:** (630) 590-5571
- **Mailing address:** 8201 CASS AVE, DARIEN, IL 60561-5314
- **Mailing address phone:** (630) 590-5571

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/16/2021
- **Last updated:** 07/16/2021