# DR. EMMET MICHAEL CASSIDY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1770544462
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 036092971 | IL | Yes |

## Other

- **Enumeration date:** 03/31/2006
- **Last updated:** 02/01/2011

## 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 |