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General NPI Number Information
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NPI Number | 1073546198
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Entity Type | Organization
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Legal Business Name | ARAS D. TIJUNELIS M.D., S.C
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1880 W WINCHESTER RD SUITE107
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City | LIBERTYVILLE
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State | IL
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Zip | 60048-5341
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Country | US
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Telephone | 847-968-2401
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Fax | 847-968-2402
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Provider Business Mailing Address
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Address Line | 1880 W WINCHESTER RD SUITE107
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City | LIBERTYVILLE
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State | IL
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Zip | 60048-5341
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Country | US
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Telephone | 847-968-2401
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Fax | 847-968-2402
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Authorized Official
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Title or Position | OWNER
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Name | ARAS D TIJUNELIS
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Credential | M.D.
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Telephone | 847-968-2401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State | IL
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