GUARDIAN HEADACHE & PAIN MANAGEMENT INSTITUTE


Address: 2203 Eastland Dr, Suite 7, Bloomington, IL 61704-7918
Phone: 8004446110

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP3300X Clinic/Center
Specialization: Pain
Ambulatory Health Care Facilities

Other Provider IDs and Locations

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

Office Location

Street Address 2203 EASTLAND DR
SUITE 7
City BLOOMINGTON
State IL
Zip Code 61704-7918

Providers in the same location

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

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1396093977 Bhawna Gupta Physical Therapist 2200 East Washington Street, Bloomington, IL 61704 2012-08-29
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Taxonomy Information

Taxonomy Code 261QP3300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Pain

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225196488 Millennium Pain Center LLC Clinic/Center 2406 E Empire St, Bloomington, IL 61704-3630 2006-12-04

Providers in the same taxonomy and state

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
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Competitor

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City BLOOMINGTON
Zip Code 61704

Improve Information

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Dataset Information

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.

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