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Organization

MISSION CARE OF ILLINOIS, LLC

Active
Other names
Abbott EMS
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY JOSEPH DORN (CHIEF ADMINISTRATIVE OFFICER)
(833) 703-2294
Entity
Organization

Contact information

Practice address
137 INDUSTRIAL PARK RD, BENTON, IL 62812-4541
(833) 703-2294
Mailing address
PO BOX 847199, DALLAS, TX 75284-7199
(800) 913-9106

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
3416L0300X
Land Ambulance

Other

Enumeration date
04/10/2012
Last updated
09/16/2025
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