Taimoorazy, Benjamin

Taimoorazy, Benjamin is an individual health care provider with primary practice located at 2203 Eastland Dr Suite 7, Bloomington IL 61704-7918. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Taimoorazy, Benjamin can be contacted via phone (309) 808-1700.

Contact Information

Primary practice address
2203 Eastland Dr Suite 7 Bloomington IL 61704-7918
Phone: (309) 808-1700
Fax: (309) 585-2951
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036086706 Illinois
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 036086706 Illinois

Profile Details

NPI number 1134225790
LBN Legal business name Taimoorazy, Benjamin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Sep 25th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134225790 NPPES
Illinois MEDICAID 036086706

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