Active NPI
Mark Anthony Artaba, AGNP-C
- Nurse Practitioner
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209033256
- Practice address
- 6841 N Francisco Ave
Chicago, IL 60645-2927 - Phone
- (929) 491-7700
- NPI assigned
- Aug 25, 2025
- Last updated
- Apr 20, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 041541036 | IL | MD | Wound Care Registered Nurse |
| 209033256 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Health at Home | Current | Accepting new patients | |
| Renew Wound Care of Illinois PLLC | Wound Care | Current | Accepting new patients |
| Vital Care Wound Solutions Co | Current | 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.
-
- Internal Medicine Physician
- Naperville, IL
- NPI 1578146882
Wound Care
-
dba Primary Health at Home Professional Limited Liability Company
- Primary Care Nurse Practitioner
- Bloomingdale, IL
- NPI 1184569808
-
- Family Medicine Physician
- Lombard, IL
- NPI 1487442489
-
- Clinic/Center
- Schaumburg, IL
- NPI 1992507032
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.