Tamara L. Olt is a Obstetrics in Peoria, Illinois. Tamara L. Olt practices all healthcare services and medical treatments related to Obstetrics. The NPI Number for Tamara L. Olt is 1104870708. The last update date is 2011-12-28.
Tamara L. Olt's current location address is 5401 N Knoxville Ave, Peoria, Illinois. You can contact this provider via phone number 3096922805 and fax number 3096921913. The mailing address for Tamara L. Olt is 5401 N Knoxville Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tamara L. Olt |
|---|---|
| Address | 5401 N Knoxville Ave, Peoria, Illinois |
| Phone Number | 3096922805 |
| Fax Number | 3096921913 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1104870708 |
|---|---|
| Provider Enumeration Date | 2006-05-19 |
| Last Updated Date | 2011-12-28 |
Provider Mailing Address Detail
| Address | 5401 N Knoxville Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616145098 |
| Phone Number | 3096922805 |
| Fax Number | 3096921913 |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics |
|---|---|
| Taxonomy | 207Vx0000X |
| Licence No | 36089480 |
|
Definition: A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7232119 | IL | BCBS OF ILLINOIS | |
| P00289284/DE383 | IL | RAILROAD MEDICARE | |
| 36089480 | IL | -- | |
| IL0101 | IL | JOHN DEERE HEALTH | |
| 343117 | IL | HEALTHLINK |
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What is the unique 10-digit identification code issued to Tamara L. Olt by the Centers for Medicare & Medicaid Services?
The Tamara L. Olt has been assigned the NPI (National Provider Identifier) 1104870708 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Tamara L. Olt located?
The Tamara L. Olt is located at 5401 N Knoxville Ave, Peoria, IL 616145098.
What is Tamara L. Olt's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Tamara L. Olt is Obstetrics, and the corresponding taxonomy classification code for this specialized field is 207Vx0000X.
When was the Tamara L. Olt's 1104870708 issued?
The Tamara L. Olt's 1104870708 was issued on 2006-05-19.
When was the information regarding Tamara L. Olt most recently updated?
The details pertaining to the Tamara L. Olt, including its address, specialty, and other relevant information, were last refreshed on 2011-12-28.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY