Healthcare Provider Details

I. General information

NPI: 1841115482
Provider Name (Legal Business Name): RESILIENTU THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 N ASHLAND AVE STE 500 # 534
CHICAGO IL
60622-8327
US

IV. Provider business mailing address

1200 N ASHLAND AVE STE 500
CHICAGO IL
60622-8327
US

V. Phone/Fax

Practice location:
  • Phone: 773-633-9381
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE MICHELLE HUGHES
Title or Position: CLINICAL THERAPIST
Credential: LCSW
Phone: 773-633-9381