Healthcare Provider Details

I. General information

NPI: 1396679551
Provider Name (Legal Business Name): MONICA LYNNE RASMUSSEN RN, BSN, CLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 E 1ST ST
DIXON IL
61021-3166
US

IV. Provider business mailing address

6154 S DAYSVILLE RD
OREGON IL
61061-9749
US

V. Phone/Fax

Practice location:
  • Phone: 815-285-5641
  • Fax: 815-285-5869
Mailing address:
  • Phone: 815-677-0019
  • Fax: 815-285-5869

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number25011
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: