Provider Demographics
NPI:1366403156
Name:SCHIERLE, CLARK FRIEDRICH (MD, PHD, FACS)
Entity type:Individual
Prefix:DR
First Name:CLARK
Middle Name:FRIEDRICH
Last Name:SCHIERLE
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Gender:M
Credentials:MD, PHD, FACS
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Mailing Address - Street 1:676 N SAINT CLAIR ST
Mailing Address - Street 2:SUITE 1575
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2927
Mailing Address - Country:US
Mailing Address - Phone:312-266-6240
Mailing Address - Fax:312-266-1411
Practice Address - Street 1:676 N SAINT CLAIR ST
Practice Address - Street 2:SUITE 1525A
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2927
Practice Address - Country:US
Practice Address - Phone:312-266-6240
Practice Address - Fax:312-266-1411
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-31
Last Update Date:2016-08-01
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Provider Licenses
StateLicense IDTaxonomies
IL125046394208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery