Deerbrook Medical Associates

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

36110464 Issued in IL

Legal business name

DEERBROOK MEDICAL ASSOCIATES

Practice address

1870 W Winchester Rd Ste 112
Libertyville, IL 60048-5365

Phone

(847) 224-0165

Fax

(847) 247-2840

NPI assigned

Aug 17, 2006

Last updated

Apr 26, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ira Fenton, DONPI 1477551752

Title

Owner

Phone

(847) 367-7340

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EEJACA

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ira F Fenton, DO

  • Rheumatology Physician
  • Libertyville, IL
  • NPI 1477551752
  Medicare reassignment Care Compare group NPD Authorized official
• Abby Elizabeth McMahon, FNP- BC

  • Family Nurse Practitioner
  • Vernon Hills, IL
  • NPI 1811144629
  Medicare reassignment Care Compare group NPD
• Carl M Silberman, MD

  • Specialist
  • Libertyville, IL
  • NPI 1407906696
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1629181284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 W WINCHESTER RD STE 112",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485365",
            "telephone_number": "847-224-0165",
            "fax_number": "847-247-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 W WINCHESTER RD STE 112",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485365",
            "telephone_number": "847-224-0165",
            "fax_number": "847-247-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEERBROOK MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "FENTON",
        "authorized_official_first_name": "IRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-367-7340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085001035",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "36110464",
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IL",
            "license": "36058893",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Davis, MD
• Fiona Catherine Davoren
• Elizabeth Anne Day, M.A, CCC-SLP
• Reyna De la Torre
• Hillary Deblois
• Matthew Deisinger
• Erica Delgado, LCSW
• Andrea Rene Dell'Aquila, M.S., CCC-SLP
• Jade Ashley Dellinger, D.C
• Dennis a Grollo MDSC

• Internal Medicine Physician in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.