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Individual
DR. EMMET MICHAEL CASSIDY
Active
Individual
DR. EMMET MICHAEL CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036092971
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01620861
BLUE CROSS AND BLUE SHIELD
IL
05
—
036092971
—
IL
01
—
1083684922
THE ESC GROUP NPI
IL
01
—
180046212
MEDICARE RAILROAD
IL
01
—
205785
PTAN IL MEDICARE COOK COUNTY
IL
01
—
P00379235
MEDICARE RAILROAD
IL
Enumeration date
03/31/2006
Last updated
02/01/2011
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