Guardian Headache & Pain Management Institute
NPI #1598061103 in Bloomington, Illinois
Provider Information
- NPI Number
- 1598061103
- Entity Type
- Organization
- Organization Name
- Guardian Headache & Pain Management Institute
- Primary Specialty
- Clinic/Center - Pain
- Enumeration Date
- Jan 28, 2011
- Last Updated
- Jul 21, 2015
Practice Location
- Address
- 2203 EASTLAND DR
- Address 2
- SUITE 7
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-7918
- Phone
- (800) 444-6110
Authorized Official
- Name
- DR. BENJAMIN TAIMOORAZY, MD
- Title
- OWNER
- Phone
- (309) 287-7601
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Pain — Pain |
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