Healthcare Provider Details

I. General information

NPI: 1336069988
Provider Name (Legal Business Name): SIDE BY SIDE THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 COUNTRY CLUB RD
LAKE ZURICH IL
60047-2125
US

IV. Provider business mailing address

25 TELSER RD. PO BOX 24
LAKE ZURICH IL
60047
US

V. Phone/Fax

Practice location:
  • Phone: 815-893-9336
  • Fax:
Mailing address:
  • Phone: 815-893-9336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: XOCHITL GABRIELA SCHUETTE
Title or Position: CLINICAL SOCIAL WORKER
Credential: LCSW, LISW
Phone: 239-560-2320