institution
Tamara Olt, S.c., Inc
Obstetrics Physician in Peoria, Illinois
NPI 1881786622

Tamara Olt, S.c., Inc is a Obstetrics Physician based in Peoria, IL and is specialized in Obstetrics. Tamara Olt, S.c., Inc practices in Peoria, IL. The NPI Number for Tamara Olt, S.c., Inc is 1881786622 and holds a License No. (Illinois).

The current practice location address for Tamara Olt, S.c., Inc 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
institution
Provider Profile Details
NPI Number
1881786622
Provider Name
Tamara Olt, S.c., Inc
Credential
Provider Entity Type
Organization
Address
5401 N Knoxville Ave, Peoria, IL, 61614-5098
Phone Number
309-692-2805
Fax Number
309-692-1913
Provider Enumeration Date
09/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07232119 01 IL BCBS GROUP NUMBER
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.
(Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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