# TAMARA OLT, S.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881786622
- **Authorized official:** MRS. TAMARA OLT M.D. (PRESIDENT)
- **Authorized official phone:** (309) 692-2805

## Contact information

- **Practice address:** 6915 N KNOXVILLE AVE STE 1, PEORIA, IL 61614-2851
- **Practice address phone:** (309) 692-2805
- **Practice address fax:** (309) 692-1913
- **Mailing address:** 6915 N KNOXVILLE AVE STE 1, PEORIA, IL 61614-2851
- **Mailing address phone:** (309) 692-2805
- **Mailing address fax:** (309) 692-1913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VG0400X | Gynecology Physician | — | IL | — |
| 207VX0000X | Obstetrics Physician | — | IL | Yes |

## Other

- **Enumeration date:** 09/29/2006
- **Last updated:** 03/06/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 07232119 | BCBS GROUP NUMBER | IL |