Individual
JACK RONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9544 ANTIOCH RD, OVERLAND PARK, KS 66212-4058
(913) 396-6756
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070027520
IL
225100000X
Physical Therapist
Primary
1108015
KS
225100000X
Physical Therapist
2025044630
MO
Other
Enumeration date
06/07/2023
Last updated
10/27/2025
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