Healthcare Provider Details

I. General information

NPI: 1285808246
Provider Name (Legal Business Name): MARK JOSEPH BEEN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2008
Last Update Date: 09/29/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 KESLINGER RD STE 110
GENEVA IL
60134
US

IV. Provider business mailing address

2800 KESLINGER RD STE 110
GENEVA IL
60134-3751
US

V. Phone/Fax

Practice location:
  • Phone: 630-492-1226
  • Fax: 630-485-6943
Mailing address:
  • Phone: 630-492-1226
  • Fax: 630-485-6943

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberFB3752993
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number036.136184
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: