Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark Perez Agustin, ACNP

Individual provider Acute Care Nurse Practitioner · NPI 1730855677

Mark Perez Agustin, ACNP is a Nurse Practitioner in Evanston, Illinois. Qualified in 2018, 8 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
8
Licensed in
IL
In the registry since
2021
Specialties on file
2
What do these letters mean?
ACNP — Acute Care Nurse Practitioner
A nurse practitioner who treats acutely ill patients, usually in hospital.

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Practice location Address checks out

2650 Ridge Ave Dept OF Anesthesia
Evanston, IL 60201-1057
Phone: (847) 570-2760
Fax: (847) 570-2921
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209019626 (IL)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 209019626 (IL)

Record details

NPI number1730855677
Entity typeIndividual (Type 1)
GenderMale
Credentials ACNP
Sole proprietorYes
NPI enumeratedAugust 20, 2021
Last updated in NPPESSeptember 17, 2021
Certification dateSeptember 1, 2021
Mailing address2650 Ridge Ave., Dept. Of Anesthesia, Evanston, IL 60201-1057

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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