Organization · Type 2 NPI
Guardian Headache & Pain Management Institute LLC
Interventional Pain Medicine Physician · Bloomington, IL
Practice location
2203 Eastland Dr, Suite 7
Bloomington, IL 61704-7918
Fax (847) 615-2858
Mailing address
PO Box 5488
Peoria, IL 61601-5488
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 036086706 (IL) |
| Interventional Pain Medicine Physician Primary | 208VP0014X | 036086706 (IL) |
| Certified Registered Nurse Anesthetist | 367500000X | None listed |
Interventional Pain Medicine Physician: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
3 other providers at this address
Other interventional pain medicine physician providers in Bloomington
About NPI 1912202409
Guardian Headache & Pain Management Institute LLC's National Provider Identifier is 1912202409, issued on Jan 14, 2011. The primary taxonomy on file is Interventional Pain Medicine Physician (208VP0014X), and the practice location is in Bloomington, IL. The record was last updated on Jul 21, 2015.