OrganizationActive
Disentangle LLC
NPI 1134650484 · Other Technician · Chicago, IL
Disentangle LLC is a Other Technician organization in Chicago, IL (NPI 1134650484).
Provider details
- NPI number
- 1134650484
- Entity type
- Organization
- Primary specialty
- Other TechnicianTechnologists, Technicians & Other Technical Service Providers
- Organization subpart
- No
- Authorized official
- Jaclyn O'Connell, Owner(708) 581-6487
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11104 S Kedzie Ave
Chicago, IL 60655-2330
Phone: (708) 581-6487
Street-level locationGet directions
Mailing address
11104 S Kedzie Ave
Chicago, IL 60655-2330
Registry dates
- Enumerated
- 2017-03-27
- Last updated
- 2017-03-27
Frequently asked questions
- What is Disentangle LLC's NPI number?
- Disentangle LLC's National Provider Identifier (NPI) is 1134650484, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Disentangle LLC?
- Disentangle LLC is classified in the NPPES registry as Other Technician (Technologists, Technicians & Other Technical Service Providers).
- Where is Disentangle LLC located?
- Disentangle LLC's practice location on file with NPPES is 11104 S Kedzie Ave, Chicago, IL 60655-2330.
- What is Disentangle LLC's phone number?
- The practice phone number listed in the NPPES registry for Disentangle LLC is (708) 581-6487.
- Who is the authorized official for Disentangle LLC?
- The authorized official listed on Disentangle LLC's NPPES record is Jaclyn O'Connell, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Disentangle LLC's NPI active?
- Yes — Disentangle LLC's NPI (1134650484) is active in the NPPES registry as of the last update on 2017-03-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.