TAMARA L. OLT

PEORIA, IL
NPI1104870708
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207VG0400X Obstetrics & Gynecology, Gynecology
(Licence: IL  036089480)
Additional Taxonomies207VX0000X Obstetrics & Gynecology, Obstetrics
(Licence: IL  036089480)
Enumeration Date2006-05-19
Last Update Date2011-12-28
Business Address
Mrs. TAMARA L. OLT M.D.
5401 N KNOXVILLE AVE SUITE 109
PEORIA, IL 61614-5098
Phone number: 309-692-2805
Mailing Address
Mrs. TAMARA L. OLT M.D.
5401 N KNOXVILLE AVE SUITE 109
PEORIA, IL 61614-5098
Phone number: 309-692-2805