Individual provider Active NPI

Mark Anthony Artaba, AGNP-C

  • Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1073491346
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209033256 Issued in IL
Practice address
6841 N Francisco Ave
Chicago, IL 60645-2927
Phone
(929) 491-7700
NPI assigned
Aug 25, 2025
Last updated
Apr 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209033256 IL Primary
Wound Care Registered Nurse 163WW0000X 041541036 IL

Addresses

Primary practice location

6841 N Francisco Ave
Chicago, IL 60645-2927

Mailing address

2930 N Pine Grove Ave Apt 101
Chicago, IL 60657-5754
Phone (616) 416-5906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251107002597 IL Practitioner - Nurse Practitioner 1456841477 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1481 McDonald Ave
Brooklyn, NY 11230-4667

246 E Janata Blvd
Suite 305
Lombard, IL 60148-5383

328 Vinings Dr
Bloomingdale, IL 60108-2627

665 Patton Dr
Buffalo Grove, IL 60089-3430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
041541036ILMDWound Care Registered Nurse
209033256ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Health at Home Current Accepting new patients
Renew Wound Care of Illinois PLLC Wound Care CurrentSince Oct 28, 2025 Accepting new patients
Vital Care Wound Solutions Co CurrentSince Jan 1, 2026 Accepting new patients

Locations

1701 E Woodfield Rd
Ste 745
Schaumburg, IL 60173

1701 E Woodfield Rd
Ste 810
Schaumburg, IL 60173
Phone (773) 341-6516

1481 McDonald Ave
Brooklyn, NY 11230
Phone (347) 479-1110

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1073491346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 N PINE GROVE AVE APT 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575754",
            "telephone_number": "616-416-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6841 N FRANCISCO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606452927",
            "telephone_number": "929-491-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARTABA",
        "first_name": "MARK ANTHONY",
        "name_prefix": "Mr.",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-25",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209033256",
            "primary": true
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "IL",
            "license": "041541036",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.