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

Dr. Ethan Homedi, MD

Individual provider Pediatrics Physician · NPI 1629657606

Dr. Ethan Homedi, MD is a Pediatrics Physician in Park Ridge, Illinois. Licensed in Illinois. Registered with an NPI since 2021.

Licensed in
IL
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1675 Dempster St Fl 1
Park Ridge, IL 60068-1110
Phone: (847) 318-9300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 036.169335 (IL)
Pediatrics Physician Taxonomy 208000000X · Licence 036.169335 (IL)

Record details

NPI number1629657606
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2021
Last updated in NPPESAugust 27, 2024
Certification dateAugust 27, 2024
Mailing address29673 Network Pl, Chicago, IL 60673-1296

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