Search › Illinois › 207RI0011X
Willis Ko, MD
NPI 1215465307 · on the registry since 2017
Practice
- Address
- 6810 State Route 162 Ste 102b
Maryville, IL 62062 - Phone
- (618) 288-4076
- Fax
- (618) 288-4215
- Organisation at this address
- Mark Fedder, Md, Pc
Mark Edelstein, Md, Pc
Sps Surgical Services, Sc
James J. Dalla Riva, Md, Pc
Anderson Medical Group, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 31
Additional practice sites
- 201 14th St Sw, Largo, FL
- 5645 Main St, Flushing, NY
Registry record
- Primary taxonomy
- 207RI0011X
207RI0011X
- Also registered as
- 207RC0000X
207R00000X
207RI0011X - Licence states on file
- IL, PA, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois