Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ausem Kattom, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1548109184

Ausem Kattom, MD is a Student in an Organized Health Care Education/Training Program in East Peoria, Illinois. Works from 2 locations. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1500 Fondulac Dr
East Peoria, IL 61611-2151
Phone: (409) 223-8562
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10101 Forest Hill Blvd, Wellington, FL 33414-6103 — (561) 472-2583

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1548109184
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2026
Last updated in NPPESMarch 27, 2026
Certification dateMarch 27, 2026
Mailing address1500 Fondulac Dr, East Peoria, IL 61611-2151

Other providers in East Peoria