IndividualActive
Ethan Hoeldtke, PA-C
NPI 1194560227 · Physician Assistant · Hazel Crest, IL
Provider details
- NPI number
- 1194560227
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 085.010882 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
17850 Kedzie Ave Ste 1150
Hazel Crest, IL 60429-2095
Phone: (877) 692-8686
Street-level locationGet directions
Mailing address
19990 Governors Hwy
Olympia Fields, IL 60461-1021
Additional practice locations (1)
- 3528 E 118th StChicago, IL 60617-7314Phone: (877) 692-8686
Registry dates
- Enumerated
- 2024-06-29
- Last updated
- 2024-10-09
- Certified
- 2024-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.