Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194560227 Individual Practitioner Male Practitioner

Ethan Hoeldtke , PA-C

Physician Assistant • Hazel Crest, IL

Professional Overview & Biography Verified Profile Summary

Ethan Hoeldtke, PA-C is a registered healthcare professional specializing in Physician Assistant in Hazel Crest, IL. Practice services are available at 17850 KEDZIE AVE STE 1150 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

17850 Kedzie Ave Ste 1150

Hazel Crest, IL 604292095

Telephone 8776928686
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Hazel Crest, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.2 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
9 Specialists

Practicing in Hazel Crest, IL (4958 Statewide)

Telehealth Adoption Rate
22.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-10-09
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085.010882

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Practice Locations

3528 E 118th St

Chicago, IL 606177314

Phone: 8776928686

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Dr. Lawal Garuba , DMD

Dentist - General Practice

NPI 1013431543

Doctor of Dental Medicine

Olivia Safranek , PA-C

Physician Assistant

NPI 1164353611

Physician Assistant (Certified)

NPI 1164819215

Doctor of Medicine (M.D.)

Mary Murtaugh , APN-FNP-BC

Nurse Practitioner - Family

NPI 1265804967

APNFNPBC

Shan Chen , APRN

Nurse Practitioner - Family

NPI 1306185103

Advanced Practice Registered Nurse

Rasheeda Eiland

Nurse Practitioner - Family

NPI 1376238089

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location October 09, 2024

Registered at 17850 KEDZIE AVE STE 1150, HAZEL CREST, IL 604292095 (Tel: 8776928686)

📍
Updated Business Mailing Address October 09, 2024

Registered at 19990 GOVERNORS HWY, OLYMPIA FIELDS, IL 604611021

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2024

Physician Assistant (License #085.010882 in IL)

NPI Profile Active June 29, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location June 29, 2024

Registered at 4600 SUNSET AVE, INDIANAPOLIS, IN 462083443 (Tel: 3179409322)

📍
Updated Business Mailing Address June 29, 2024

Registered at 4600 SUNSET AVE, INDIANAPOLIS, IN 462083443

👤
Provider Name / Credentials Updated June 29, 2024

Recorded as ETHAN HOELDTKE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2024

Physician Assistant

🟢
Initial NPI Registration & Enumeration June 29, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194560227
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2024
Last Update: October 09, 2024
Sole Proprietor: No

Mailing Address

19990 Governors Hwy

Olympia Fields, IL 604611021

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.