Guardian Interventional Pain Management Institute LLC
NPI #1053840124 in Bloomington, Illinois
Provider Information
- NPI Number
- 1053840124
- Entity Type
- Organization
- Organization Name
- Guardian Interventional Pain Management Institute LLC
- Primary Specialty
- Anesthesiology - Pain Medicine
- Enumeration Date
- Jun 12, 2017
- Last Updated
- Jun 12, 2017
Practice Location
- Address
- 2203 EASTLAND DR STE 7
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-7924
- Phone
- (309) 808-1700
Authorized Official
- Name
- MOHAMED EL-ANSARY, M.D.
- Title
- OWNER
- Phone
- (217) 274-9720
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiology - Pain Medicine — Pain Medicine |
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