By Your Side Arizona, LLC

Organization Active NPI Developmental Disabilities Clinic/Center · Darien, IL

NPI 1205409174 · NPPES record last updated Jul 20, 2021

Key facts

NPI
1205409174
Entity type
Organization (NPI type 2)
Primary specialty
Developmental Disabilities Clinic/Center 261QD1600X
Legal business name
BY YOUR SIDE ARIZONA, LLC
Practice address
8201 Cass Ave
Darien, IL 60561-5314
Phone
(630) 590-5571
NPI assigned
Jul 20, 2021
Organization subpart
No

Authorized official

Name
Kathy Kozicki
Title
Billing Contracting Manager
Phone
(630) 590-5571

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Yes

Addresses

Primary practice location

8201 Cass Ave
Darien, IL 60561-5314

Mailing address

8201 Cass Ave
Darien, IL 60561-5314
Phone (630) 590-5571

Other names

  • By Your Side Doing business as

Other providers in Darien, IL

All providers in Darien, IL · Developmental Disabilities Clinic/Center in Illinois

Sources for this page

Verify at the official NPI Registry.