Individual
MRS. TAMARA L. OLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6915 N KNOXVILLE AVE, PEORIA, IL 61614-2850
(309) 692-2805
(309) 692-1913
Mailing address
6915 N KNOXVILLE AVE STE 1, PEORIA, IL 61614-2851
(309) 692-2805
(309) 692-1913
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
036089480
IL
207VX0000X
Obstetrics Physician
036089480
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036089480
—
IL
01
—
07232119
BCBS OF ILLINOIS
IL
01
—
343117
HEALTHLINK
IL
01
—
IL0101
JOHN DEERE HEALTH
IL
01
—
P00289284/DE3835
RAILROAD MEDICARE
IL
Enumeration date
05/19/2006
Last updated
03/06/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us