Healthcare Provider Details

I. General information

NPI: 1821923889
Provider Name (Legal Business Name): LAUREN KATHRYN GILBERT RN BSN, CLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 E 1ST ST # 215
DIXON IL
61021-3166
US

IV. Provider business mailing address

360 IL ROUTE 2
DIXON IL
61021-9119
US

V. Phone/Fax

Practice location:
  • Phone: 815-209-7270
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number367136
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: