Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Disentangle LLC

Organization Other Technician · NPI 1134650484

Disentangle LLC is an Other Technician in Chicago, Illinois. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11104 S Kedzie Ave
Chicago, IL 60655-2330
Phone: (708) 581-6487
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Other Technician (primary) Taxonomy 247200000X

Record details

NPI number1134650484
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jaclyn O'Connell — Owner · (708) 581-6487
NPI enumeratedMarch 27, 2017
Last updated in NPPESMarch 27, 2017
Mailing address11104 S Kedzie Ave, Chicago, IL 60655-2330

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