Provider Demographics
NPI:1407686371
Name:HUMAN RESOURCES DEVELOPMENT INSTITUTE INC,
Entity type:Organization
Organization Name:HUMAN RESOURCES DEVELOPMENT INSTITUTE INC,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CONTRACT ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:RENZY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-756-6230
Mailing Address - Street 1:340 E 51ST ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60615-3509
Mailing Address - Country:US
Mailing Address - Phone:312-441-9009
Mailing Address - Fax:773-839-6759
Practice Address - Street 1:33 E 114TH ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60628-4921
Practice Address - Country:US
Practice Address - Phone:773-660-4630
Practice Address - Fax:773-660-4650
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRIEND FAMILY HEALTH CENTER, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health