Organization
FAMILY BUILDING BLOCKS
Active
Organization
FAMILY BUILDING BLOCKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY BOUCK MA (LCPC)
(773) 429-9454
Entity
Organization
Contact information
Practice address
10450 S WESTERN AVE, CHICAGO, IL 60643-2508
(773) 429-9454
Mailing address
10450 S WESTERN AVE, CHICAGO, IL 60643-2508
(773) 429-9454
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1825273
IL
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up