Individual provider · Type 1 NPI
Willis Ko, MD
Interventional Cardiology Physician · Maryville, IL
Practice location
6810 State Route 162 Ste 102B
Maryville, IL 62062-8560
Fax (618) 288-4215
Mailing address
660 Mason Ridge Center Dr Ste 300
St. Louis, MO 63141-8512
Other practice locations
- 230 N Broad Street, Hahnemann University Hospital, Philadelphia, PA 19102 · (215) 762-7000
- 5645 Main St, Flushing, NY 11355-5045 · (718) 670-2000
- 201 14th St SW, Largo, FL 33770-3133 · (727) 588-3700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Interventional Cardiology Physician Primary | 207RI0011X | 036171090 (IL) |
| Cardiovascular Disease Physician | 207RC0000X | MT213475 (PA) |
| Internal Medicine Physician | 207R00000X | MT213475 (PA) |
| Interventional Cardiology Physician | 207RI0011X | 2024024174 (MO) |
Interventional Cardiology Physician: An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
About NPI 1215465307
Willis Ko, MD's National Provider Identifier is 1215465307, issued on Jun 1, 2017. The primary taxonomy on file is Interventional Cardiology Physician (207RI0011X), and the practice location is in Maryville, IL. The record was last updated on Sep 19, 2025.