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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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