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

Individual provider Family Medicine Physician · NPI 1164455978

Mohammed Altaf Kaiseruddin, MD is a Family Practice in Chicago, Illinois. Qualified in 2001, 25 years ago. Practices with Tca Health Inc Nfp, an 18-clinician group and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
25
Licensed in
IL, WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2744 W 63rd St
Chicago, IL 60629-2343
Phone: (773) 434-4626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036112300 (IL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 45398-020 (WI)

Record details

NPI number1164455978
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 8, 2006
Last updated in NPPESSeptember 8, 2016
Mailing address15628 Calypso Ln, Orland Park, IL 60462-5114

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Tca Health Inc Nfp — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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