Organization
GUARDIAN HEADACHE & PAIN MANAGEMENT INSTITUTE
Active
Organization
GUARDIAN HEADACHE & PAIN MANAGEMENT INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN TAIMOORAZY MD (OWNER)
(309) 287-7601
Entity
Organization
Contact information
Practice address
2203 EASTLAND DR, SUITE 7, BLOOMINGTON, IL 61704-7918
(800) 444-6110
(847) 615-2858
Mailing address
PO BOX 5488, PEORIA, IL 61601-5488
(800) 444-6110
(847) 615-2858
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
01/28/2011
Last updated
07/21/2015
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