By Your Side Arizona, LLC

NPI #1205409174 in Darien, Illinois

Provider Information

NPI Number
1205409174
Entity Type
Organization
Organization Name
By Your Side Arizona, LLC
Primary Specialty
Clinic/Center - Developmental Disabilities
Enumeration Date
Jul 20, 2021
Last Updated
Jul 20, 2021

Practice Location

Address
8201 CASS AVE
City
Darien
ZIP Code
60561-5314
Phone
(630) 590-5571

Authorized Official

Name
KATHY KOZICKI
Title
BILLING CONTRACTING MANAGER
Phone
(630) 590-5571

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Developmental DisabilitiesDevelopmental Disabilities

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