Provider Demographics
NPI:1790846749
Name:ASSOCIATES IN CLINICAL SERVICES
Entity Type:Organization
Organization Name:ASSOCIATES IN CLINICAL SERVICES
Other - Org Name:DR PATRICK BERKOS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO OWNER SECRETARY
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:DEBEIR BERKOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-377-1812
Mailing Address - Street 1:39 W 635 LORETTA DR
Mailing Address - Street 2:
Mailing Address - City:ST CHARLES
Mailing Address - State:IL
Mailing Address - Zip Code:60175
Mailing Address - Country:US
Mailing Address - Phone:630-377-3450
Mailing Address - Fax:
Practice Address - Street 1:215 S 4TH AVE
Practice Address - Street 2:
Practice Address - City:ST CHARLES
Practice Address - State:IL
Practice Address - Zip Code:60174
Practice Address - Country:US
Practice Address - Phone:630-377-3450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL04515191OtherIL BLUE CROSS