Organization Active NPI

The Palms Health Center PLLC

  • Chiropractor
  • Glen Carbon, IL
National Provider Identifier
1780537357
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
THE PALMS HEALTH CENTER PLLC
Practice address
62 Brenda St
Glen Carbon, IL 62034-1938
Phone
(618) 917-1003
NPI assigned
Feb 16, 2026
Last updated
May 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ryan G Loucks, DCNPI 1770440323
Title
Chief Medical Officer
Phone
(618) 580-8619

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Medical Specialty Clinic/Center 261QM2500X
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

62 Brenda St
Glen Carbon, IL 62034-1938

Mailing address

62 Brenda St
Glen Carbon, IL 62034-1938
Phone (618) 917-1003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260513002512 IL Part B Supplier - Clinic/Group Practice 4789153339 Receives reassigned benefits from 1 practitioner
Practice locations: Troy, IL

National Provider Directory

National Provider Directory

Locations

304 Bargraves Blvd
Unit B
Troy, IL 62294

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1771200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1780537357",
    "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": "618-917-1003"
        },
        {
            "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": "618-917-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PALMS HEALTH CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-16",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "LOUCKS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "618-580-8619",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.