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

Guardian Interventional Pain Management Institute LLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1053840124

Guardian Interventional Pain Management Institute LLC is a Pain Medicine (Anesthesiology) Physician in Bloomington, Illinois. Registered with an NPI since 2017.

In the registry since
2017
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 61704-7924
Phone: (309) 808-1700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X

Record details

NPI number1053840124
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohamed El-Ansary — Owner · (217) 274-9720
NPI enumeratedJune 12, 2017
Last updated in NPPESJune 12, 2017
Mailing addressPo Box 570, Lake Forest, IL 60045-0570

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