Disentangle Llc

LBN: Disentangle Llc
Disentangle Llc is an health care organization with primary practice located at 11104 S Kedzie Ave , Chicago IL 60655-2330. The organization recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as the primary health care specialty. Disentangle Llc can be contacted via phone (708) 581-6487, or through O'Connell, Jaclyn via phone (708) 581-6487.

Contact Information

Primary practice address
11104 S Kedzie Ave Chicago IL 60655-2330
Phone: (708) 581-6487
Fax:
Website:
Map and Directions
Authorized official contact:
Name: O'Connell, Jaclyn
Phone: (708) 581-6487

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1134650484
LBN Legal business name Disentangle Llc
DBA Doing business as
Authorized official O'Connell, Jaclyn
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2017
Last updated Mar 27th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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