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

Guardian Interventional Pain Management Institute LLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1053840124

Guardian Interventional Pain Management Institute LLC provides Pain Medicine (Anesthesiology) Physician services 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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