Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN HOELDTKE, PA-C
ActiveETHAN HOELDTKE, PA-C is a Physician Assistant healthcare provider located in HAZEL CREST, Illinois. NPI 1194560227 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · HAZEL CREST, IL
Registration Details
- NPI Number
- 1194560227
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 29, 2024 (1.9814141399049 yrs)
- Last Updated
- Oct 9, 2024
- License
-
085.010882 (IL)
Practice Information
- Address
-
17850 KEDZIE AVE STE 1150HAZEL CREST, IL, 604292095Browse IL providers · Browse ZIP 60429
- Phone
- 8776928686
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in HAZEL CREST, IL
| Name | Credential | NPI |
|---|---|---|
| LISA M. FANTROY | PA-C | 1982799508 |
| MARK AMBROSE | PA-C | 1043424740 |
| OLIVIA SCHULTZ | — | 1669955936 |
| SARAH ALICE GILFILLAN | PA | 1043971435 |
| KYRIAKI M KEENAN | PA-C | 1043932403 |
| BROOKE WOLD | DMS, PA-C | 1134969637 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.