MOHAMMED ALTAF KAISERUDDIN


Address: 2744 W 63rd St, Chicago, IL 60629-2343
Phone: 7734344626

MOHAMMED ALTAF KAISERUDDIN (NPI# 1164455978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164455978
Entity Type Individual
Full Name MOHAMMED ALTAF KAISERUDDIN
Credential MD
Practice Address 2744 W 63rd St
Chicago
IL 60629-2343
Mailing Address 15628 Calypso Ln
Orland Park
IL 60462-5114
Practice Telephone 7734344626
Mailing Telephone 7086208040
Enumeration Date 2006-07-08
Last Update Date 2016-09-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207P00000X Emergency Medicine 45398-020 WI Allopathic & Osteopathic Physicians
Y 207Q00000X Family Medicine 036112300 IL Allopathic & Osteopathic Physicians

Office Location

Street Address 2744 W 63RD ST
City CHICAGO
State IL
Zip Code 60629-2343

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528665379 Valentina Gonzalez Counselor 2744 W 63rd St, Chicago, IL 60629-2343 2020-10-05
1962060566 Queennorah Anigbogu Nurse Practitioner 2744 W 63rd St, Chicago, IL 60629-2343 2019-05-30
1821554593 Heba Abdel Latief Dietitian, Registered 2744 W 63rd St, Chicago, IL 60629-2343 2019-02-18
1386137925 Inner-city Muslim Action Network Clinic/Center 2744 W 63rd St, Chicago, IL 60629-2343 2018-06-08
1528558228 Andrea Karina Haidar Social Worker 2744 W 63rd St, Chicago, IL 60629 2018-05-17
1043748114 Jessica M Grayer-brumfield Social Worker 2744 W 63rd St, Chicago, IL 60629-2343 2017-06-01
1104365196 Shannon B Mccray Counselor 2744 W 63rd St, Chicago, IL 60629-2343 2017-02-23
1770020828 Inner-city Muslim Action Network Dentist 2744 W 63rd St, Chicago, IL 60629-2343 2017-01-27
1558719344 Natali Y Rehman Marriage & Family Therapist 2744 W 63rd St, Chicago, IL 60629-2343 2016-06-02
1003244567 Inner-city Muslim Action Network Clinic/Center 2744 W 63rd St, Chicago, IL 60629-2343 2013-10-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053946392 T & M Care LLC In Home Supportive Care 7230 S Talman, Apt 4, Chicago, IL 60629 2020-03-06
1841847811 Jacqueline Ann Milton Technician 6720 South Keating, Chicago, IL 60629 2019-08-23
1194202085 Andrea Mosqueda Counselor 4217 W 59th St, Chicago, IL 60629 2018-07-23
1316439235 Saliha Awais Dentist 5521 S. Kedzie Ave. Suite 105, Chicago, IL 60629 2018-06-06
1356833255 Irfana Ilyas Dentist 2403,5521 S Kedzie Ave, Suite 105, Chicago, IL 60629 2018-06-06
1427547538 Holy Cross Hospital Psychiatric Unit 2701 West 68th Street, Chicago, IL 60629 2018-05-03
1871003715 Siddhi Vinayak Dental Clinic/Center 5521 S Kedzie Ave, Unit 105, Chicago, IL 60629 2017-10-05
1477092328 Debra Shepard Social Worker 2601 W. Marquette Rd., Catholic Charities, Chicago, IL 60629 2017-02-13
1255777108 Jacquelyn Jones Developmental Therapist 3108 West Marquette Road Apartment 1-b, Chicago, IL 60629 2013-05-20
1124368030 Claudia Ballesteros Interpreter 5631 S. Richmond, Chicago, IL 60629 2013-03-01
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053911495 Moataz Barkat Family Medicine 3315 W 66th Pl, Chicago, IL 60629-3427 2020-10-26
1558976589 Jasmine Ashley Fowler Family Medicine 2416 N Lotus Ave, Chicago, IL 60639-1435 2020-09-15
1720699176 Healing Hands Resource Center Streator Family Medicine 2128 S Central Park Ave, Chicago, IL 60623-3113 2020-08-10
1285251892 Soe Lwin Oo Family Medicine 1625 E 75th St # 1, Chicago, IL 60649-3603 2020-06-30
1124645700 Timothy Alan Williams Jr. Family Medicine 1625 E 75th St Fl 1, Chicago, IL 60649-3603 2020-06-30
1194340026 Kaysha Lynne Ribao Family Medicine 2116 S Springfield Ave, Chicago, IL 60623-2465 2020-06-16
1932724341 Toni Kurian Family Medicine 1550 S Indiana Ave Apt 407, Chicago, IL 60605-4822 2020-06-11
1528689486 Thurman J Robertson Family Medicine 1950 W. Polk Street, 7th Floor, Chicago, IL 60612-3714 2020-05-01
1629697297 Lyndsey Danielle Johnson Family Medicine 2804 W Walton St, Chicago, IL 60622-4450 2020-04-13
1730708884 Iruoma Genevieve Nwangwu Family Medicine 1950 W Polk Street, Chicago, IL 60612-3714 2020-04-09
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Competitor

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City CHICAGO
Zip Code 60629

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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