Mrs. Tamara L. Olt
Gynecologist Obstetrician
5401 N Knoxville Ave Suite 109
Peoria
, Illinois 61614-5098
Mrs. Tamara L. Olt
Gynecologist Obstetrician
5401 N Knoxville Ave Suite 109
Peoria
, Illinois 61614-5098
(309) 692-1913
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About
Features
Specialties
- Gynecologist
- Obstetrician
Languages spoken
- English
Location
First Address
- Mrs. Tamara L. Olt
- 5401 N Knoxville Ave Suite 109
- Peoria, IL
- Zip : 61614-5098
- Fax : (309) 692-1913
- Phone : (309) 692-2805
Second Address
- Mrs. Tamara L. Olt
- 5401 N Knoxville Ave Suite 109
- Peoria, IL
- Zip : 61614-5098
- Fax : (309) 692-1913
- Phone : (309) 692-2805
Reviews
FAQs
Where did Mrs. Tamara L. Olt attend graduate school?
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What type of doctor is Mrs. Tamara L. Olt
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Is Mrs. Tamara L. Olt a sole practitioner?
Is Mrs. Tamara L. Olt accepting new patients?
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Does Mrs. Tamara L. Olt have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | 036089480 | IL |
| N | 207VX0000X | Obstetrician | 036089480 | IL |
National Provider Identifier
| NPI | 1104870708 |
|---|---|
| Provider Name | Mrs. Tamara L. Olt |
| First Address | Peoria, IL 61614-5098 |
| Second Address | Peoria, IL 61614-5098 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/05/2006 |
| Last Update Date | 28/12/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036089480 | (05) | IL |
| 07232119 | BCBS OF ILLINOIS (01) | IL |
| 343117 | HEALTHLINK (01) | IL |
| G35702 | (02) | IL |
| IL0101 | JOHN DEERE HEALTH (01) | IL |
| P00289284/DE3835 | RAILROAD MEDICARE (01) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.