Active NPI
Ryan G Loucks, DC
- Chiropractor
- Glen Carbon, IL
National Provider Identifier
1770440323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038.014410
- Practice address
- 62 Brenda St
Glen Carbon, IL 62034-1938 - Phone
- (618) 580-8619
- NPI assigned
- Jan 6, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038.014410 | IL | Primary |
Addresses
Primary practice location
62 Brenda St
Glen Carbon, IL 62034-1938
Mailing address
62 Brenda St
Glen Carbon, IL 62034-1938
Phone (618) 580-8619
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
304 -B Bargraves Boulevard
Troy, IL 62294
Phone (618) 917-1003
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038.014410 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Palms Health Center PLLC | Chiropractor | Current | Accepting new patients |
Locations
304 Bargraves Blvd
Unit B
Troy, IL 62294
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Glen Carbon, IL
- NPI 1780537357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767657600000",
"number": "1770440323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 BRENDA ST",
"city": "GLEN CARBON",
"state": "IL",
"postal_code": "620341938",
"telephone_number": "618-580-8619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 BRENDA ST",
"city": "GLEN CARBON",
"state": "IL",
"postal_code": "620341938",
"telephone_number": "618-580-8619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOUCKS",
"first_name": "RYAN",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-01-06",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.014410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Carbon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.