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

Ethan Hoeldtke, PA-C

Individual provider Physician Assistant · NPI 1194560227

Ethan Hoeldtke, PA-C is a Physician Assistant in Hazel Crest, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

17850 Kedzie Ave Ste 1150
Hazel Crest, IL 60429-2095
Phone: (877) 692-8686
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3528 E 118th St, Chicago, IL 60617-7314 — (877) 692-8686

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085.010882 (IL)

Record details

NPI number1194560227
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 29, 2024
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024

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