Individual provider Active NPI

Clark Friedrich Schierle, MD, PHD, FACS

  • Plastic Surgery Physician
  • Chicago, IL
National Provider Identifier
1366403156
Registry record updated Aug 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
125046394 Issued in IL
Practice address
676 N Saint Clair St
Suite 1525a
Chicago, IL 60611-2927
Phone
(312) 266-6240
Fax
(312) 266-1411
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 125046394 IL Primary

Addresses

Primary practice location

676 N Saint Clair St
Suite 1525a
Chicago, IL 60611-2927

Mailing address

676 N Saint Clair St
Suite 1575
Chicago, IL 60611-2927
Phone (312) 266-6240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100720000016 IL Practitioner - Plastic and Reconstructive Surgery 3173655669 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Harvard Medical School, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwestern Specialists in Plastic Surgery SCGroup PAC ID 2769528256, 4 clinicians

Practice addresses (Care Compare)

676 N Saint Clair St
Suite 1575
Chicago, IL 60611-2889
Phone (312) 266-6240

Hospital & facility affiliations

  • Northwestern Memorial Hospital Hospital, Chicago, IL, CCN 140281

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy23
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
125046394ILMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois CurrentSince Oct 1, 2014 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Shriners Hospitals for Children Plastic Surgery CurrentSince Sep 14, 2022 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Oct 1, 2014 Accepting new patients
Northwestern Specialists in Plastic Surgery, S.C. Plastic Surgery CurrentSince Jul 6, 2010 Accepting new patients
Shriners Hospitals for Children CurrentSince Sep 14, 2022 Accepting new patients
Shriners Hospitals for Children Current Accepting new patients
Shriners Hospitals for Children Past Accepting new patients

Locations

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

2211 N Oak Park Ave
Chicago, IL 60707
Phone (773) 385-5463

1855 W Taylor St
Chicago, IL 60612
Phone (312) 996-6582

676 N Saint Clair St
Ste 1575
Chicago, IL 60611
Phone (312) 266-6240

1801 W Taylor St
#3F
Chicago, IL 60612
Phone (312) 355-4300

676 N Saint Clair St
Ste 1525A
Chicago, IL 60611
Phone (312) 266-6240

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470009600000",
    "number": "1366403156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST",
            "address_2": "SUITE 1575",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112927",
            "telephone_number": "312-266-6240",
            "fax_number": "312-266-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST",
            "address_2": "SUITE 1525A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112927",
            "telephone_number": "312-266-6240",
            "fax_number": "312-266-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIERLE",
        "first_name": "CLARK",
        "middle_name": "FRIEDRICH",
        "name_prefix": "Dr.",
        "credential": "MD, PHD, FACS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2016-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "IL",
            "license": "125046394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.