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He was elected [[titular bishop]] of Harioupolis in 1960, and was [[consecration of a bishop|consecrated]] to the episcopacy on [[November 6]], 1960, at St. Sophia's and appointed to oversee the archdiocesan districts of [[Metropolis of Chicago|Chicago]].
From 1964 until his retirement in 1974 he owersaw oversaw the archdiocesan district of the [[Metropolis of Atlanta|Charlotte]]<ref>http://www.atlantametropolisphiloptochos.org/about/</ref>.
Bishop Aimilianos died of heart ailments on August 28, 1992 at 91 years old<ref name=ancientfaces/> at his residence in New York City.
