BY YOUR SIDE NORTH CAROLINA, LLC – NPI #1740852854
Clinic/Center

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

BY YOUR SIDE NORTH CAROLINA, LLC is an AHC clinic located in DARIEN, IL. NPPES has assigned the NPI number 1740852854 to BY YOUR SIDE NORTH CAROLINA, LLC on July 16, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD1600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Developmental Disabilities

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BY YOUR SIDE NORTH CAROLINA, LLC below.

NPI Profile for
BY YOUR SIDE NORTH CAROLINA, LLC

NPI Number
1740852854
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BY YOUR SIDE NORTH CAROLINA, LLC
Primary location
8201 CASS AVE
DARIEN, IL 60561-5314
Phone: (630) 590-5571 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KATHY KOZICKI
BILLING CONTRACTING MANAGER
Phone: (630) 590-5571
Updated
Certification Date
Jun 22, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD1600X
- Clinic/Center / Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.