Bouck, Tracy M
Bouck, Tracy M is an sole proprietor health care provider with primary practice located at 16744 Oak Park Ave , Tinley Park IL 60477-2894. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Bouck, Tracy M can be contacted via phone (708) 532-6951.Contact Information
Primary practice address
16744 Oak Park Ave
Tinley Park IL 60477-2894
Phone: (708) 532-6951
Fax: (708) 532-6952
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | Illinois |
Profile Details
| NPI number | 1871646570 |
|---|---|
| LBN Legal business name | Bouck, Tracy M |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871646570 | NPPES |
| Illinois | Other | 9932251 | BCBS ID NUMBER |
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