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DEERBROOK MEDICAL ASSOCIATES
NPI 1629181284
Internal Medicine in Libertyville, IL

Active since August 17, 2006CLIA 14D0413535 · Waiver
1870 W WINCHESTER RD STE 112, LIBERTYVILLE, IL 60048(847) 224-0165(847) 247-2840 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deerbrook Medical Associates NPPES

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

DEERBROOK MEDICAL ASSOCIATES (NPI 1629181284) is a healthcare organization registered as an internal medicine in Libertyville, Illinois and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through January 12, 2027 and lists Ira Fenton, Owner, as its authorized official.

NPPES Registry Identity

NPI1629181284
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameDEERBROOK MEDICAL ASSOCIATES
Location Address1870 W WINCHESTER RD STE 112Libertyville, IL 60048-5365
Mailing Address1870 W Winchester Rd Ste 112Libertyville, IL 60048-5365 · (847) 224-0165 · Fax (847) 247-2840
Phone(847) 224-0165
Fax(847) 247-2840
Organization SubpartNo
Authorized OfficialIra FentonOwner · (847) 367-7340
Enumeration DateAugust 17, 2006
Last NPPES UpdateApril 26, 2024
NPPES CertifiedApril 26, 2024
✔ NPI 1629181284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 36110464
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X · License 36058893 (IL)
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 085001035 (IL)
1870 W WINCHESTER RD STE 112, Libertyville, IL 60048
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0413535

Deerbrook Medical Associates · Libertyville, IL
Active · expires Jan 12, 2027
CLIA Number14D0413535
Laboratory TypePhysician Office
Certificate Effective DateJanuary 13, 2025
Certificate Expiration DateJanuary 12, 2027
Laboratory DirectorIra F. Fenton, Do
Laboratory Phone(847) 367-7340
Laboratory LocationDeerbrook Medical Associates1870 W Winchester Rd #112, Libertyville, IL 60048
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

CARL M SILBERMAN MD
Specialist
1870 W WINCHESTER RD STE 112
LIBERTYVILLE, IL 60048
Lake County (847) 224-0165
IRA F FENTON DO
Internal Medicine (Rheumatology)
1870 W WINCHESTER RD STE 112
LIBERTYVILLE, IL 60048
Lake County (847) 224-0165

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 Deerbrook Medical Associates's NPI number?

The NPI number for Deerbrook Medical Associates is 1629181284. It was assigned to this organization in the NPPES registry on August 17, 2006.

Where is Deerbrook Medical Associates located?

Deerbrook Medical Associates is located at 1870 W Winchester Rd Ste 112, Libertyville, IL 60048. The listed phone number is (847) 224-0165.

What is Deerbrook Medical Associates's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Deerbrook Medical Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0413535) is associated with this NPI, valid through January 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Deerbrook Medical Associates was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.