| NPI | 1205409174 |
|---|---|
| Doing Business As | BY YOUR SIDE |
| Entity Type | Organization |
| Authorized Contact | KATHY KOZICKI Billing Contracting Manager 630-590-5571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2021-07-20 |