Individual provider Active NPI

Chique Henderson

  • Psychiatric/Mental Health Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1114890803
Registry record updated Sep 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209033345 Issued in IL
Practice address
1449 S Michigan Ave Ste 13354
Chicago, IL 60605-2810
Phone
(312) 523-4988
Fax
(878) 201-5357
NPI assigned
Sep 29, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209033345 IL Primary

Addresses

Primary practice location

1449 S Michigan Ave Ste 13354
Chicago, IL 60605-2810

Mailing address

3440 N Lake Shore Dr Apt 7E
Chicago, IL 60657-2846
Phone (312) 523-4988

Other practice location 1

4311 N Ravenswood Ave Ste 223
Chicago, IL 60613-1192
Phone (312) 523-4988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251016003610 IL Practitioner - Nurse Practitioner 3678060183 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Clinical LLCGroup PAC ID 7214034925, 15 clinicians
Health Hub LLCGroup PAC ID 3274817481, 16 clinicians

Practice addresses (Care Compare)

1333 Burr Ridge Pkwy
Suite 200
Burr Ridge, IL 60527-0833
Phone (630) 832-1775

1909 Ogden Ave
Suite a
Downers Grove, IL 60515-2602
Phone (630) 750-7920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209033345ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Clinical LLC Psychiatric/Mental Health CurrentSince Aug 8, 2025 Accepting new patients
Cypressholistic Psychiatry Psychiatric/Mental Health Current Accepting new patients
Paragon Clinical Midwest, LLC Past Accepting new patients

Locations

1333 Burr Ridge Pkwy
Ste 200
Burr Ridge, IL 60527
Phone (630) 308-8706

1449 S Michigan Ave
Chicago, IL 60605
Phone (312) 292-9818

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1759104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789171200000",
    "number": "1114890803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 N LAKE SHORE DR APT 7E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572846",
            "telephone_number": "312-523-4988",
            "fax_number": "878-201-5357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1449 S MICHIGAN AVE STE 13354",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052810",
            "telephone_number": "312-523-4988",
            "fax_number": "878-201-5357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4311 N Ravenswood Ave Ste 223",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606131192",
            "country_code": "US",
            "telephone_number": "312-523-4988",
            "fax_number": "878-201-5357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "CHIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-29",
        "last_updated": "2026-09-12",
        "certification_date": "2026-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209033345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.