Guardian Headache & Pain Management Institute LLC
NPI #1912202409 in Bloomington, Illinois
Provider Information
- NPI Number
- 1912202409
- Entity Type
- Organization
- Organization Name
- Guardian Headache & Pain Management Institute LLC
- Primary Specialty
- Pain Medicine - Interventional Pain Medicine
- Enumeration Date
- Jan 14, 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
- (309) 808-1700
Authorized Official
- Name
- DR. BENJAMIN TAIMOORAZY, MD
- Title
- OWNER
- Phone
- (309) 664-1747
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiology - Pain Medicine — Pain Medicine |
| Nurse Anesthetist, Certified Registered |
| Pain Medicine - Interventional Pain Medicine — Interventional Pain Medicine |
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