Active NPI
Aras D. Tijunelis M.D., S.C
Doing business as Lake County Plastic Surgery
- Plastic Surgery Physician
- Libertyville, IL
National Provider Identifier
1073546198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- ARAS D. TIJUNELIS M.D., S.C
- Doing business as
- Lake County Plastic Surgery
- Practice address
- 1880 W Winchester Rd
Suite107
Libertyville, IL 60048-5341 - Phone
- (847) 968-2401
- Fax
- (847) 968-2402
- NPI assigned
- Jul 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aras D Tijunelis, M.D.
- Title
- Owner
- Phone
- (847) 968-2401
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | IL | Primary |
Addresses
Primary practice location
1880 W Winchester Rd
Suite107
Libertyville, IL 60048-5341
Mailing address
1880 W Winchester Rd
Suite107
Libertyville, IL 60048-5341
Phone (847) 968-2401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04926463 | Other | IL | BC/BS |
Other names 1
- Lake County Plastic Surgery
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic Surgery Physician
- Libertyville, IL
- NPI 1932133451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1073546198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1880 W WINCHESTER RD",
"address_2": "SUITE107",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600485341",
"telephone_number": "847-968-2401",
"fax_number": "847-968-2402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1880 W WINCHESTER RD",
"address_2": "SUITE107",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600485341",
"telephone_number": "847-968-2401",
"fax_number": "847-968-2402"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARAS D. TIJUNELIS M.D., S.C",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TIJUNELIS",
"authorized_official_first_name": "ARAS",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "847-968-2401",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "04926463",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lake County Plastic Surgery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Libertyville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.