Guardian Headache and Pain Managment

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

GUARDIAN HEADACHE AND PAIN MANAGMENT

Practice address

1110 Arbor Dr
Ste B
Decatur, IL 62526-9285

Phone

(217) 330-9324

NPI assigned

Mar 29, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Diane Uhll

Title

Manager

Phone

(224) 231-4804

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1972966893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 ARBOR DR",
            "address_2": "STE B",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625269285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 ARBOR DR",
            "address_2": "STE B",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625269285",
            "telephone_number": "217-330-9324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN HEADACHE AND PAIN MANAGMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "UHLL",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "224-231-4804"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Ruth Gromley, NURSE PRACTITIONER
• Groves Family Chiropractic Limited
• Matthew Ryan Groves, D.C.
• Jessica Alyse Grunden, OTR/L
• Perry P Guaglianone, M.D.
• Michael James Guddendorf, ATC
• Arianna Guerrero
• Carol Gunderson
• Paul Gurley, PA-C
• Jamie Nicole Guthrie, PH

• Interventional Pain Medicine Physician in Decatur, IL
• Providers in Decatur, IL by specialty
• Interventional Pain Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.