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Contact Information

EMMET M CASSIDY, MD
18646 DIXIE HWY
HOMEWOOD, IL60430-3715
 Phone: 708-647-6635
 Fax: 708-647-6649
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for EMMET M CASSIDY · (Male)

NPI Number 1770544462
Status Active
Credentials MD
Entity Individual
Enumeration date 03/31/2006
Last updated 02/01/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036092971
  • IL Medicaid 036092971
  • IL Other 01620861 BLUE CROSS AND BLUE SHIELD
  • IL Other 180046212 MEDICARE RAILROAD
  • IL Other P00379235 MEDICARE RAILROAD
  • IL Other 205785 PTAN IL MEDICARE COOK COUNTY
  • IL Other 1083684922 THE ESC GROUP NPI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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