Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Guardian Headache & Pain Management Institute LLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1912202409

Guardian Headache & Pain Management Institute LLC is a Pain Medicine (Anesthesiology) Physician in Bloomington, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2203 Eastland Dr Ste 7
Bloomington, IL 61704-7918
Phone: (309) 808-1700
Fax: (847) 615-2858
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence 036086706 (IL)
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X · Licence 036086706 (IL)
Certified Registered Nurse Anesthetist Taxonomy 367500000X

Record details

NPI number1912202409
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Benjamin Taimoorazy — Owner · (309) 664-1747
NPI enumeratedJanuary 14, 2011
Last updated in NPPESJuly 21, 2015
Mailing addressPo Box 5488, Peoria, IL 61601-5488

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