# MISSION CARE OF ILLINOIS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Abbott EMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164572855
- **Authorized official:** BRIAN SCOTT TIERNEY (EVP, CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (833) 703-2294

## Contact information

- **Practice address:** 4400 N BELT W, BELLEVILLE, IL 62226-5280
- **Practice address phone:** (618) 233-4820
- **Practice address fax:** (618) 233-4830
- **Mailing address:** PO BOX 847199, DALLAS, TX 75284-7199
- **Mailing address phone:** (800) 913-9106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | NULL | — |
| 3416L0300X | Land Ambulance | 1746251 | IL | Yes |

## Other

- **Enumeration date:** 01/12/2007
- **Last updated:** 05/13/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 803855303 | — | MO |