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SEON YEOP JEONG MD
NPI 1861332561
Student in an Organized Health Care Education/Training Program in Lake Geneva, WI

Active since March 31, 2026
350 PELLER RD, LAKE GENEVA, WI 53147(262) 249-0221 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Seon Yeop Jeong Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SEON YEOP JEONG MD (NPI 1861332561) is an individual student in an organized health care education/training program in Lake Geneva, Wisconsin and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1861332561
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSEON YEOP JEONGCredential: MD
Location Address350 PELLER RDLake Geneva, WI 53147-4543
Mailing Address350 Peller RdLake Geneva, WI 53147-4543 · (262) 249-0221
Phone(262) 249-0221
Sole ProprietorNo
Enumeration DateMarch 31, 2026
NPPES CertifiedMarch 31, 2026
✔ NPI 1861332561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
350 PELLER RD, Lake Geneva, WI 53147
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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FARAH SHAUKAT MD
Family Medicine
350 PELLER RD
LAKE GENEVA, WI 53147
Walworth County (262) 249-0221
MERCY HEALTH SYSTEM CORPORATION
Durable Medical Equipment & Medical Supplies
350 PELLER RD
LAKE GENEVA, WI 53147
Walworth County (262) 249-0221
DR. JAIME QUEZADA MD
Family Medicine
350 PELLER RD
LAKE GENEVA, WI 53147
Walworth County (262) 249-0221
GARY MYRON M.D.
Family Medicine
350 PELLER RD
LAKE GENEVA, WI 53147
Walworth County (262) 249-0221
DR. NORBERT G DEBIASE MD
Family Medicine
350 PELLER RD
LAKE GENEVA, WI 53147
Walworth County (262) 249-0221
JASON S SO DO
Family Medicine
350 PELLER RD
LAKE GENEVA, WI 53147
Walworth County (262) 245-0221
GABRIELLE JUDITH-MANIA SADEN MD
Family Medicine
350 PELLER RD
LAKE GENEVA, WI 53147
Walworth County (262) 249-0221
DR. ABBIGAYLE JORDAN WILLGRUBER MD
Student in an Organized Health Care Education/Training Program
350 PELLER RD
LAKE GENEVA, WI 53147
Walworth County (262) 249-0221

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Seon Yeop Jeong's NPI number?

The NPI number for Seon Yeop Jeong is 1861332561. It was assigned to this individual provider in the NPPES registry on March 31, 2026.

Where is Seon Yeop Jeong located?

Seon Yeop Jeong practices at 350 Peller Rd, Lake Geneva, WI 53147. The listed phone number is (262) 249-0221.

What is Seon Yeop Jeong's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Seon Yeop Jeong was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.