Organization
FAMILY BUILDING BLOCKS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY BOUCK LCPC (OWNER)
(773) 429-9454
Entity
Organization
Contact information
Practice address
10337 S MAPLEWOOD AVE, CHICAGO, IL 60655-1022
(773) 771-2186
(866) 897-4573
Mailing address
10337 S MAPLEWOOD AVE, CHICAGO, IL 60655-1022
(773) 771-2186
(866) 897-4573
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180004699
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01636973
BCBS PIN
IL
Enumeration date
10/12/2007
Last updated
11/03/2025
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