OrganizationActive
Guardian Headache & Pain Management Institute
NPI 1598061103 · Pain Clinic/Center · Bloomington, IL
Provider details
- NPI number
- 1598061103
- Entity type
- Organization
- Primary specialty
- Pain Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Benjamin Taimoorazy, Owner(309) 287-7601
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2203 Eastland Dr
Suite 7
Bloomington, IL 61704-7918
Phone: (800) 444-6110
Fax: (847) 615-2858
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 5488
Peoria, IL 61601-5488
Registry dates
- Enumerated
- 2011-01-28
- Last updated
- 2015-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.