TAMARA OLT S.C. INC NPI 1881786622

NPI Information

  • NPI: 1881786622
  • Provider Name: TAMARA OLT, S.C., INC
  • Classification: Obstetrics & Gynecology - 207VX0000X
  • Specialization: Obstetrics
  • Entity Type: Organization
  • Address: 5401 N KNOXVILLE AVE
    SUITE 109
    PEORIA, IL
    ZIP 61614
  • Phone: (309) 692-2805

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NPI Details

TAMARA OLT, S.C., INC is an obstetrics obstetrics gynecology in Peoria, IL. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee TAMARA OLT, S.C., INC NPI is 1881786622. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5401 N KNOXVILLE AVE
SUITE 109
PEORIA, IL
ZIP 61614-098
Phone: (309) 692-2805
Fax: (309) 692-1913

The provider's authorized official is Tamara Olt .
The authorized official title is President and has the following contact phone number (309) 692-2805.

The enumeration date for this NPI number is 9/29/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VG0400XObstetrics & GynecologyGynecologyILLINOISNo
2207VX0000XObstetrics & GynecologyObstetricsILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
107232119OTHERILLINOISBCBS GROUP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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