Organization Active NPI

Tamara Olt, S.C.

  • Obstetrics Physician
  • Peoria, IL
National Provider Identifier
1881786622
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
Legal business name
TAMARA OLT, S.C.
Practice address
6915 N Knoxville Ave Ste 1
Peoria, IL 61614-2851
Phone
(309) 692-2805
Fax
(309) 692-1913
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Tamara Olt, M.D.
Title
President
Phone
(309) 692-2805

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207VG0400X IL
Obstetrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207VX0000X IL Primary

Addresses

Primary practice location

6915 N Knoxville Ave Ste 1
Peoria, IL 61614-2851

Mailing address

6915 N Knoxville Ave Ste 1
Peoria, IL 61614-2851
Phone (309) 692-2805

Other identifiers 1

IdentifierTypeStateIssuer
07232119OtherILBCBS GROUP NUMBER

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D1057611Tamara Olt SC6915 N Knoxville Ave - Ste 1, Peoria, IL 61614Certificate of waiverJul 29, 2027

National Provider Directory

National Provider Directory

Locations

6915 N Knoxville Ave
Peoria, IL 61614
Phone (309) 692-2805

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1881786622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6915 N KNOXVILLE AVE STE 1",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616142851",
            "telephone_number": "309-692-2805",
            "fax_number": "309-692-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6915 N KNOXVILLE AVE STE 1",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616142851",
            "telephone_number": "309-692-2805",
            "fax_number": "309-692-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMARA OLT, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "OLT",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-692-2805",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "07232119",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.