Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jung Il Yoon

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1073217444

Jung Il Yoon is a Student in an Organized Health Care Education/Training Program in Brookfield, Wisconsin. Practices as a sole proprietor. Licensed in Michigan and Wisconsin.

Licensed in
MI, WI
In the registry since
2023
Specialties on file
4

Practice location Address checks out

20350 Water Tower Blvd
Brookfield, WI 53045-3558
Phone: (262) 327-6100
Fax: (262) 717-9642
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 6002167-15 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Dentist Taxonomy 122300000X · Licence 2901601855 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 2901601855 (MI)

Record details

NPI number1073217444
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 29, 2023
Last updated in NPPESJuly 26, 2026
Certification dateJuly 26, 2026
Mailing address20350 Water Tower Blvd, Brookfield, WI 53045-3558

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