Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. TAMARA L. OLT, M.D.
Active Sole ProprietorMRS. TAMARA L. OLT, M.D. is a Gynecology healthcare provider located in PEORIA, Illinois. NPI 1104870708 is currently active in the NPPES registry. Verify at CMS.
Gynecology · PEORIA, IL
Registration Details
- NPI Number
- 1104870708
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 19, 2006 (20.229051417975 yrs)
- Last Updated
- Mar 6, 2026
- Licenses
-
036089480 (IL)036089480 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6915 N KNOXVILLE AVEPEORIA, IL, 616142850Browse IL providers · Browse ZIP 61614
- Phone
- 3096922805
- Fax
- 3096921913
- Primary Specialty
-
Gynecology
207VG0400X
- Additional Specialty
- Obstetrics
Other Gynecology Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| MR. CAMERON MOURO | M.D. | 1952423881 |
| MRS. LAUREN S PONDER | APN | 1598390924 |
| MR. HEATHER L DENTINO | APN | 1831898014 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.