Cassidy, Emmet Michael

Cassidy, Emmet Michael is an individual health care provider with primary practice located at 18646 Dixie Hwy , Homewood IL 60430-3715. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Cassidy, Emmet Michael can be contacted via phone (708) 647-6635.

Contact Information

Primary practice address
18646 Dixie Hwy Homewood IL 60430-3715
Phone: (708) 647-6635
Fax: (708) 647-6649
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036092971 Illinois

Profile Details

NPI number 1770544462
LBN Legal business name Cassidy, Emmet Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Feb 1st, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770544462 NPPES
Illinois Other 01620861 BLUE CROSS AND BLUE SHIELD
Illinois Other 205785 BLUE CROSS AND BLUE SHIELD
Illinois MEDICAID 036092971 BLUE CROSS AND BLUE SHIELD
Illinois Other 180046212 BLUE CROSS AND BLUE SHIELD
Illinois Other 1083684922 BLUE CROSS AND BLUE SHIELD
Illinois Other P00379235 BLUE CROSS AND BLUE SHIELD

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