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NPI Code Detail

MEDICARE: HUMAN RESOURCES DEVELOPMENT INSTITUTE, INC.

MEDICARE: HUMAN RESOURCES DEVELOPMENT INSTITUTE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency04073IL
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1407198013
Entity Type Code : Organization
Provider Name (Legal Business Name) : HUMAN RESOURCES DEVELOPMENT INSTITUTE, INC.
Provider Business Mailing Address
First Line : 222 S JEFFERSON ST
Second Line :
City : CHICAGO
State : IL
Zip : 60661-5603
Country : US
Telephone Number : 312-441-9009
Fax Number : 312-441-9019
Provider Business Practice Location Address
First Line : 1140 W 79TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60620-3029
Country : US
Telephone Number : 773-660-4630
Fax Number : 773-660-4650
Authorized Official
Title or Position : DIRECTOR OF CONTRACT ADMINISTRATION
Name : MS. RENZY RICHARDSON
Credential :
Telephone Number : 312-441-9009
Provider Enumeration Date : 03/21/2013
Last Update Date : 06/23/2021

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Directions to “HUMAN RESOURCES DEVELOPMENT INSTITUTE, INC. ” Practice Location

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