GUARDIAN HEADACHE & PAIN MANAGEMENT INSTITUTE (NPI# 1598061103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598061103 |
Entity Type | Organization |
Organization Name | GUARDIAN HEADACHE & PAIN MANAGEMENT INSTITUTE |
Practice Address |
2203 Eastland Dr Suite 7 Bloomington IL 61704-7918 |
Mailing Address |
Po Box 5488 Peoria IL 61601-5488 |
Practice Telephone | 8004446110 |
Practice Fax Number | 8476152858 |
Mailing Telephone | 8004446110 |
Mailing Fax Number | 8476152858 |
Enumeration Date | 2011-01-28 |
Last Update Date | 2015-07-21 |
Authorized Official Name | DR. BENJAMIN TAIMOORAZY (OWNER) |
Authorized Official Telephone | 3092877601 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447623558 | Guardian Headache & Pain Management Institute | Clinic/Center | 361 Hospital Rd, Suite 324, Newport Beach, CA 92663-3522 | 2015-11-11 |
Street Address |
2203 EASTLAND DR SUITE 7 |
City | BLOOMINGTON |
State | IL |
Zip Code | 61704-7918 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134225790 | Benjamin Taimoorazy | Anesthesiology | 2203 Eastland Dr, Suite 7, Bloomington, IL 61704-7918 | 2006-09-14 |
1093118127 | Kristi Chioni | Pain Medicine | 2203 Eastland Dr, Bloomington, IL 61704-7918 | 2014-10-03 |
1912202409 | Guardian Headache & Pain Management Institute LLC | Anesthesiology | 2203 Eastland Dr, Suite 7, Bloomington, IL 61704-7918 | 2011-01-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
1649798513 | Sarah Goodner | Psychologist | 1704 Royal Pointe Drive, Bloomington, IL 61704 | 2017-08-31 |
1346760253 | Elizabeth Devlin | Nurse Practitioner | 25 Long Cove Ct, Bloomington, IL 61704 | 2017-06-21 |
1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
1740662949 | Oncology Hematology Associates of Central Illinois | Pharmacy | 3105 Magory Drive, Bloomington, IL 61704 | 2015-06-24 |
1821478967 | Kelly R Andrews | Massage Therapist | 4101 Wicker Rd, Bloomington, IL 61704 | 2015-06-03 |
1235522582 | All Ways Caring Services, Inc. | In Home Supportive Care | 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 | 2015-03-11 |
1396093977 | Bhawna Gupta | Physical Therapist | 2200 East Washington Street, Bloomington, IL 61704 | 2012-08-29 |
Find all providers in zip 61704 |
Taxonomy Code | 261QP3300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Pain |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225196488 | Millennium Pain Center LLC | Clinic/Center | 2406 E Empire St, Bloomington, IL 61704-3630 | 2006-12-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790244150 | Paradise Point Spa | Clinic/Center | 3207 Lake Ave Ste 13, Wilmette, IL 60091-1082 | 2019-03-15 |
1932610110 | Julia Rackley Perry Memorial Hospital | Clinic/Center | 530 Park Ave E Fl 3, Princeton, IL 61356-3901 | 2017-10-16 |
1538606470 | Naprapathy University | Clinic/Center | 320 E 21st St, Unit 405, Chicago, IL 60616-3190 | 2017-01-30 |
1306216403 | Chicago Pain and Wellness Institute S.c. | Clinic/Center | 665 W North Ave, Suite 101, Lombard, IL 60148-1134 | 2015-10-01 |
1134597636 | Great River Pain Clinic LLC | Clinic/Center | 555 N Kellogg St, Galesburg, IL 61401-3726 | 2015-09-14 |
1649651951 | Wellness Institute of Illinois, Ltd. | Clinic/Center | 741 S Mchenry Ave Ste G, Crystal Lake, IL 60014-7445 | 2015-06-11 |
1558618512 | Precision Diagnostics | Clinic/Center | 18623 81st Ave, Tinley Park, IL 60487-6279 | 2012-08-09 |
1962637157 | Interventional Pain Medicine of Jacksonville, LLC | Clinic/Center | 1440 West Walnut Street, Jacksonville, IL 62650-0000 | 2009-05-18 |
1952565384 | Aaa Headache and Pain Clinic Ltd | Clinic/Center | 1449 N Milwaukee Ave, Libertyville, IL 60048-1310 | 2008-07-15 |
1639332505 | Interventional Pain Medicine LLC | Clinic/Center | 1 Bronze Pointe Blvd, Suite 1-a, Swansea, IL 62226-1045 | 2008-07-09 |
Find all providers with the same taxonomy |
City | BLOOMINGTON |
Zip Code | 61704 |
Please comment or provide details below to improve the information on GUARDIAN HEADACHE & PAIN MANAGEMENT INSTITUTE.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.