keyword phrases in image names and alt tags - how much is too much earn by blogging adsense income

For you actual SEO gurus: if I am focused on a couple specific keyword phrases, like chicago dermatologist and dermatologist chicago, will it cause problems if I rename nearly all my images and alt tags on our site so they start with one or the other? Example chicago-dermatologist-waiting-room.jpg ... I don't want to get a keyword stuffing penalty. Thanks!

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