Individual
ETHAN HOELDTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
17850 KEDZIE AVE STE 1150, HAZEL CREST, IL 60429-2095
(877) 692-8686
Mailing address
19990 GOVERNORS HWY, OLYMPIA FIELDS, IL 60461-1021
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.010882
IL
Other
Enumeration date
06/29/2024
Last updated
10/09/2024
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