Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Guardian Headache & Pain Management Institute LLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1912202409

Guardian Headache & Pain Management Institute LLC provides Pain Medicine (Anesthesiology) Physician services 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 Not confirmed with CMS for 11 years — call before visiting
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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