DISENTANGLE LLC
NPI 1134650484
Technician, Other in Chicago, IL

Q: What is Disentangle LLC's NPI number?

The NPI number for Disentangle LLC is 1134650484. It was assigned to this organization in the NPPES registry on March 27, 2017.

Q: What is Disentangle LLC's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

Q: When was this NPI record last updated?

The NPPES record for Disentangle LLC was last updated on March 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 27, 2017

11104 S KEDZIE AVE, CHICAGO, IL 60655(708) 581-6487 Get Directions Write a Review

NPPES record last updated: March 27, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Disentangle Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DISENTANGLE LLC (NPI 1134650484) is a healthcare organization registered as a technician, other in Chicago, Illinois and active in the NPI registry since March 2017. The organization lists Jaclyn O'connell, Owner, as its authorized official.

NPPES Registry Identity

NPI1134650484

Entity TypeOrganization

Primary Taxonomy247200000X

Legal Business NameDISENTANGLE LLC

Location Address11104 S KEDZIE AVEChicago, IL 60655-2330

Mailing Address11104 S Kedzie AveChicago, IL 60655-2330

Phone(708) 581-6487

Organization SubpartNo

Authorized OfficialJaclyn O'connellOwner · (708) 581-6487

Enumeration DateMarch 27, 2017

✔ NPI 1134650484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code247200000X

Definition

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

11104 S KEDZIE AVE, Chicago, IL 60655

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

L. LANGAN LLC

Nurse Practitioner

11104 S KEDZIE AVE
CHICAGO, IL 60655

Cook County (708) 271-7570

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Disentangle LLC's NPI number?

The NPI number for Disentangle LLC is 1134650484. It was assigned to this organization in the NPPES registry on March 27, 2017.

Where is Disentangle LLC located?

Disentangle LLC is located at 11104 S Kedzie Ave, Chicago, IL 60655. The listed phone number is (708) 581-6487.

What is Disentangle LLC's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Disentangle LLC was last updated on March 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.