Active NPI
Willes Ko, D.C.
- Rehabilitation Chiropractor
- Wheeling, IL
National Provider Identifier
1376798934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 038010090
- Practice address
- 715 Astor LN
Suite 301
Wheeling, IL 60090 - Phone
- (630) 254-0581
- Fax
- (773) 774-1372
- NPI assigned
- Nov 24, 2008
- 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 |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 038010090 | IL | Primary |
Addresses
Primary practice location
715 Astor LN
Suite 301
Wheeling, IL 60090
Mailing address
715 Astor LN
Unit 301
Wheeling, IL 60090
Phone (630) 254-0581
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038010090 | IL | MD | Rehabilitation Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ko Wellness and Rehabilitation Center Inc | Rehabilitation | Past | Accepting new patients |
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.
-
- Rehabilitation Chiropractor
- Wheeling, IL
- NPI 1720223035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341532800000",
"number": "1376798934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 ASTOR LN",
"address_2": "UNIT 301",
"city": "WHEELING",
"state": "IL",
"postal_code": "60090",
"telephone_number": "630-254-0581",
"fax_number": "224-588-9416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 ASTOR LN",
"address_2": "SUITE 301",
"city": "WHEELING",
"state": "IL",
"postal_code": "60090",
"telephone_number": "630-254-0581",
"fax_number": "773-774-1372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KO",
"first_name": "WILLES",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-24",
"last_updated": "2012-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "IL",
"license": "038010090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheeling, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.