Healthcare Provider Details

I. General information

NPI: 1164691887
Provider Name (Legal Business Name): HUMAN RESOURCES DEVELOPMENT INSTITUTE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2008
Last Update Date: 03/19/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1223 W MARQUETTE RD
CHICAGO IL
60636-2926
US

IV. Provider business mailing address

222 S JEFFERSON ST 200
CHICAGO IL
60661-5603
US

V. Phone/Fax

Practice location:
  • Phone: 773-651-2728
  • Fax: 773-651-2721
Mailing address:
  • Phone: 312-441-9009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number04073
License Number StateIL

VIII. Authorized Official

Name: MS. RENZY RICHARDSON
Title or Position: DIRECTOR OF CONTRACT ADMINISTRATION
Credential:
Phone: 312-441-9009