Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TARA OLIVE HENDERSON
NPI 1386794329
Pediatrics - Pediatric Hematology-Oncology in Chicago, IL

Active since January 11, 2007PECOS Enrolled
225 E CHICAGO AVE, CHICAGO, IL 60611(800) 543-7362 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 4, 2026, Oct 24, 2022, May 19, 2022 and 2 more (5 updates tracked since 2022).

About Tara Olive Henderson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TARA OLIVE HENDERSON (NPI 1386794329) is an individual pediatric hematology-oncology provider in Chicago, Illinois, licensed in Illinois (036114102) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1386794329
Entity TypeIndividualFemale
Primary Taxonomy2080P0207X
Provider Legal NameTARA OLIVE HENDERSON
Location Address225 E CHICAGO AVEChicago, IL 60611-2991
Mailing Address150 Harvester Dr Ste 300Burr Ridge, IL 60527-5965
Sole ProprietorNo
Enumeration DateJanuary 11, 2007
Last NPPES UpdateAugust 4, 20265 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
NPI 1386794329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License Licensed in IL · 036114102
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
225 E CHICAGO AVE, Chicago, IL 60611

Secondary Practice Location 1

Location 15841 S Maryland AveChicago, IL 60637-1443 · Phone (888) 824-0200

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tara Olive Henderson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
225 E CHICAGO AVE
CHICAGO, IL 60611
Pediatrics
225 E CHICAGO AVE
CHICAGO, IL 60611
Nurse Practitioner (Pediatrics)
225 E CHICAGO AVE
CHICAGO, IL 60611
Nurse Practitioner (Neonatal)
225 E CHICAGO AVE
CHICAGO, IL 60611
Pediatrics (Hospice and Palliative Medicine)
225 E CHICAGO AVE
CHICAGO, IL 60611
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
225 E CHICAGO AVE
CHICAGO, IL 60611
Student in an Organized Health Care Education/Training Program
225 E CHICAGO AVE
CHICAGO, IL 60611
Student in an Organized Health Care Education/Training Program
225 E CHICAGO AVE
CHICAGO, IL 60611

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tara Henderson's NPI number?

The NPI number for Tara Henderson is 1386794329. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Tara Henderson located?

Tara Henderson practices at 225 E Chicago Ave, Chicago, IL 60611. The listed phone number is (800) 543-7362.

What is Tara Henderson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Tara Henderson enrolled in Medicare?

Yes. Tara Henderson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tara Henderson was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.