# CLINICAL COLLEAGUES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316399967
- **Authorized official:** PAUL GERDES (MANAGING PARTNER)
- **Authorized official phone:** (800) 494-3964

## Contact information

- **Practice address:** 695 N KELLOGG ST, GALESBURG, IL 61401-2807
- **Practice address phone:** (800) 494-3964
- **Practice address fax:** (954) 570-0317
- **Mailing address:** PO BOX 824246, PHILADELPHIA, PA 19182-4246
- **Mailing address phone:** (954) 570-0337
- **Mailing address fax:** (954) 570-0317

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 07/07/2016
- **Last updated:** 09/25/2026