Benjamin Taimoorazy (NPI# 1134225790, PAC ID# 9436250875) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1134225790 |
| PAC ID by PECOS | 9436250875 |
| Professional Enrollment ID | I20101012000064 |
| Full Name | Benjamin Taimoorazy |
| Organization Legal Name | GUARDIAN HEADACHE AND PAIN MANAGEMENT INSTITUTE LLC |
| Address |
2203 Eastland Dr Suite 7 Bloomington IL 61704-7924 |
| Phone Number | 3098081700 |
| Gender | M |
| Graduation Year | 1988 |
| Primary Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| Secondary Specialties | ANESTHESIOLOGY, PAIN MANAGEMENT |
| Group Practice PAC ID | 1153504956 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140127 | ADVOCATE BROMENN MEDICAL CENTER |
| 140162 | ST JOSEPH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 436 N Roxbury Dr, Suite 115, Beverly Hills, CA 90210-5016 | ||
| 2203 Eastland Dr, Suite 7, Bloomington, IL 61704-7924 | 3098081700 | GUARDIAN HEADACHE AND PAIN MANAGEMENT INSTITUTE LLC |
| Organization Legal Name | GUARDIAN HEADACHE AND PAIN MANAGEMENT INSTITUTE LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristi M Chioni | Nurse Practitioner | Guardian Headache and Pain Management Institute LLC | 2203 Eastland Dr, Suite 7, Bloomington, IL 61704-7924 |
| Janet E Albertson | Certified Registered Nurse Anesthetist (crna) | Guardian Headache and Pain Management Institute LLC | 2203 Eastland Dr, Suite 7, Bloomington, IL 61704-7924 |
| Linda A Lee Gaston | Physical Therapy | Guardian Headache and Pain Management Institute LLC | 2203 Eastland Dr, Bloomington, IL 61704-7924 |
| Street Address |
2203 EASTLAND DR SUITE 7 |
| City | BLOOMINGTON |
| State | IL |
| Zip | 61704-7924 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristi M Chioni | Nurse Practitioner | Guardian Headache and Pain Management Institute LLC | 2203 Eastland Dr, Suite 7, Bloomington, IL 61704-7924 |
| Janet E Albertson | Certified Registered Nurse Anesthetist (crna) | Guardian Headache and Pain Management Institute LLC | 2203 Eastland Dr, Suite 7, Bloomington, IL 61704-7924 |
| Linda A Lee Gaston | Physical Therapy | Guardian Headache and Pain Management Institute LLC | 2203 Eastland Dr, Bloomington, IL 61704-7924 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leah C Swanson | Clinical Social Worker | Elliott Counseling Services LLC | 209 S Prospect, Suite 1, Bloomington, IL 61704 |
| Cheri Miller | Psychologist, Clinical | Advocate Health and Hospitals Corporation | 303 N Hershey, Suite 2c, Bloomington, IL 61704 |
| Dennis M Brtva | Optometry | Central Illinois Family Eyecare LLC | 2109 N Veterans Pkwy, Suite 2, Bloomington, IL 61704-0910 |
| Christopher James Wetzler | Optometry | Central Illinois Family Eyecare LLC | 2109 N Veterans Pkwy, Suite 2, Bloomington, IL 61704-0910 |
| Ashley Elizabeth Foster | Optometry | Central Illinois Family Eyecare LLC | 2109 N Veterans Pkwy, Suite 2, Bloomington, IL 61704-0910 |
| Preston Langdon Smith | Optometry | Central Illinois Family Eyecare LLC | 2109 N Veterans Pkwy, Suite 2, Bloomington, IL 61704-0910 |
| Kristine C Winkler | Nurse Practitioner | Encounter Telehealth LLC | 11 Harbor Pointe Ct, Bloomington, IL 61704-1409 |
| Robert J Hermann | Chiropractic | 2415 E Washington St F, Bloomington, IL 61704-1609 | |
| Robert D Brown | Chiropractic | 2422 E Washington St, Suite 202, Bloomington, IL 61704-1611 | |
| Julie R Dostal | Registered Dietitian Or Nutrition Professional | 2412 E Washington St, Suite 1b, Bloomington, IL 61704-1613 | |
| Find all physicians in zip 61704 | |||
| City | BLOOMINGTON |
| Zip Code | 61704 |
| Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| City + Specialty | BLOOMINGTON + INTERVENTIONAL PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Benjamin Taimoorazy.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.