Accilien Enterprises Il PLLC

Key facts

NPI: 1922823913
Entity type: Organization (NPI type 2)
Primary specialty: Pain Medicine Physician 208VP0000X
Legal business name: ACCILIEN ENTERPRISES IL PLLC
Practice address: 2203 Eastland Dr Ste 7
Bloomington, IL 61704-7924
Phone: (309) 808-1700
NPI assigned: Nov 15, 2024
Organization subpart: No

Authorized official

Name: Yves-Dany Accilien, MD NPI 1720571920
Title: President
Phone: (813) 924-0236

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Yves-Dany Accilien, MD Emergency Medicine Physician · Chicago, IL · NPI 1720571920

Medicare reassignment NPD Authorized official IL · SINGLE SPECIALTY
Janet E Albertson, CRNA Certified Registered Nurse Anesthetist · Peoria, IL · NPI 1316975162

Medicare reassignment Care Compare group NPD IL
Kristi Chioni Family Nurse Practitioner · Bloomington, IL · NPI 1093118127

Medicare reassignment Care Compare group NPD IL
Brian Ogan, M.D. Pain Medicine (Anesthesiology) Physician · Champaign, IL · NPI 1528077948

Medicare reassignment Care Compare group NPD IL
Benjamin Taimoorazy, MD Interventional Pain Medicine Physician · Bloomington, IL · NPI 1134225790

Medicare reassignment NPD IL

Medicare participation

Medicare fee-for-service enrollment: Enrolled in IL

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20250331002086	IL	Part B Supplier - Clinic/Group Practice	1759804719	Receives reassigned benefits from 5 practitioners Practice locations: Bloomington, IL

National Provider Directory

Locations

2203 Eastland Dr
Ste 7
Bloomington, IL 61704
Phone (309) 808-1700

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pain Medicine Physician Group: 193400000X SINGLE SPECIALTY GROUP	208VP0000X			Yes

Addresses

Primary practice location

2203 Eastland Dr Ste 7
Bloomington, IL 61704-7924

Mailing address

2203 Eastland Dr Ste 7
Bloomington, IL 61704-7924
Phone (309) 808-1700

Other names

Guardian Headache and Pain Management Institute Doing business as

Other providers in Bloomington, IL

All providers in Bloomington, IL · Pain Medicine Physician in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.