person
Mrs. Tamara L. Olt, MD
Obstetrics Physician in Peoria, Illinois
NPI 1104870708

Tamara L. Olt is a Obstetrics Physician based in Peoria, IL and is specialized in Obstetrics. Tamara L. Olt practices in Peoria, IL and has the professional credentials of MD. The NPI Number for Tamara L. Olt is 1104870708 and holds a License No. 036089480 (Illinois).

The current practice location address for Tamara L. Olt is 5401 N Knoxville Ave, Peoria, IL and can be reached out via phone at 309-692-2805 and via fax at 309-692-1913.

Location: 5401 N Knoxville Ave, Peoria, IL, 61614-5098
person
Provider Profile Details
NPI Number
1104870708
Provider Name
Tamara L. Olt
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
5401 N Knoxville Ave, Peoria, IL, 61614-5098
Phone Number
309-692-2805
Fax Number
309-692-1913
Provider Enumeration Date
05/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07232119 01 IL BCBS OF ILLINOIS
P00289284/DE3835 01 IL RAILROAD MEDICARE
036089480 05 IL
IL0101 01 IL JOHN DEERE HEALTH
343117 01 IL HEALTHLINK
institution
Provider Business Practice Location Address Details
Address
5401 N Knoxville Ave
City
State
Zip
61614-5098
Phone Number
309-692-2805
Fax Number
309-692-1913
person
Provider Business Mailing Address Details
Address
5401 N Knoxville Ave
City
State
Zip
61614-5098
Phone Number
309-692-2805
Fax Number
309-692-1913
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
036089480 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
License No.
036089480 (Illinois)
Definition
Definition to come...
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