Organization Active NPI

Winchester Aesthetic Surgical Suite, SC

  • Ambulatory Surgical Clinic/Center
  • Libertyville, IL
National Provider Identifier
1902084593
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
WINCHESTER AESTHETIC SURGICAL SUITE, SC
Practice address
1880 W Winchester Rd
Suite 107
Libertyville, IL 60048-5341
Phone
(847) 968-2401
Fax
(847) 968-2402
NPI assigned
Feb 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Authorized official

Name
Dr. Aras Donatas Tijunelis, M.D.
Title
Owner/President
Phone
(847) 968-2401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1880 W Winchester Rd
Suite 107
Libertyville, IL 60048-5341

Mailing address

1880 W Winchester Rd
Suite 107
Libertyville, IL 60048-5341
Phone (847) 968-2401

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1902084593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 W WINCHESTER RD",
            "address_2": "SUITE 107",
            "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": "SUITE 107",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485341",
            "telephone_number": "847-968-2401",
            "fax_number": "847-968-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINCHESTER AESTHETIC SURGICAL SUITE, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "TIJUNELIS",
        "authorized_official_first_name": "ARAS",
        "authorized_official_middle_name": "DONATAS",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "847-968-2401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.