| Doctor Name: | OLGA SPECK |
| NPI Number: | 1720213184 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 157580 |
| Business Practice Address: | 1001 Main St Suite 500a Peoria, IL - 616062038 |
| Business Phone Number: | 3096724980 |
| Business Fax Number: | 3096712979 |
| Mailing Address: | Po Box 365, MORTON |
| State: | IL |
| Postal Code: | 615500365 |
| Phone Number: | 3096724980 |
| Fax Number: | |
| NPI Enumeration Date: | 05/28/2009 |
| NPI Last Update Date: | 01/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | 157580 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |