MEDICARE: MR. ARAS D TIJUNELIS M.D.,

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208200000X	Plastic Surgery Physician	H26809	IL
2	208200000X	Plastic Surgery Physician	04926463	IL
3	208200000X	Plastic Surgery Physician	599090	IL
4	208200000X	Plastic Surgery Physician	036-102115	IL

General Provider Information

NPI Number	:	1932133451
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ARAS D TIJUNELIS M.D.,

Provider Business Mailing Address
First Line	:	1880 W WINCHESTER RD
Second Line	:	SUITE 107
City	:	LIBERTYVILLE
State	:	IL
Zip	:	60048-5341
Country	:	US
Telephone Number	:	847-968-2401
Fax Number	:	847-968-2402

Provider Business Practice Location Address
First Line	:	1880 W WINCHESTER RD
Second Line	:	SUITE 107
City	:	LIBERTYVILLE
State	:	IL
Zip	:	60048-5341
Country	:	US
Telephone Number	:	847-968-2401
Fax Number	:	847-968-2402

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	01/07/2022

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Directions to “ MR. ARAS D TIJUNELIS M.D.,” Practice Location

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