Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Land Transport |
3416L0300X | 59 | Ambulance Service Provider | |
Ambulance |
341600000X | 59 | Ambulance Service Provider |
| NPI # | 1164572855 |
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| LBN Legal business name | MISSION CARE OF ILLINOIS LLC | ||||
| Authorized official | BRIAN TIERNEY - (EVP, CHIEF FINANCIAL OFFICER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 01/12/2007 | ||||
| Last updated | 05/13/2026 - About 3 weeks ago | ||||
| Identifiers |
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