Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bonnie Lane Woeltjen, PA-C

Individual provider Physician Assistant · NPI 1316983794

Bonnie Lane Woeltjen, PA-C is a Physician Assistant in Chicago, Illinois. Qualified in 2002, 24 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Texas.

Years since qualifying
24
Licensed in
IL, TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1942 W Fullerton Ave
Chicago, IL 60614-1894
Phone: (847) 866-7846
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6560 Fannin St, Houston, TX 77030-2761 — (713) 441-9000

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 085006025 (IL)
Physician Assistant Taxonomy 363A00000X · Licence PA03492 (TX)

Record details

NPI number1316983794
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 22, 2006
Last updated in NPPESMarch 26, 2026
Certification dateMarch 26, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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