Carlos Luis Farias, M.D.

Primary specialty

Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianTaxonomy code 2082S0099X

License

113176 Issued in MO

Practice address

3050 Finley Rd Ste 300B
Downers Grove, IL 60515-1369

Phone

(630) 426-6018

Fax

(630) 426-3703

NPI assigned

Sep 4, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1437307337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 FINLEY RD STE 300B",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151369",
            "telephone_number": "630-426-6018",
            "fax_number": "630-426-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 FINLEY RD STE 300B",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151369",
            "telephone_number": "630-426-6018",
            "fax_number": "630-426-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARIAS",
        "first_name": "CARLOS",
        "middle_name": "LUIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-04",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "MO",
            "license": "113176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.ilumaforma.com",
            "affiliation": "N",
            "endpointDescription": "practice website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3050 Finley Rd Ste 300B",
            "city": "Downers Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605151369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Family Health and Wellness Clinic S C
• Family Health and Wellness Solutions LLC
• Jingyuan Fan, DDS
• Farhad Vossoughi MD SC
• Farhana Supplies Inc
• Charles A Faron, OD
• Sulaiman Farooqui, DO
• Lysa Z Farrell, PT
• Elizabeth Fast, RDN, LDN
• Rebecca Ivette Favela, LPC

• Plastic Surgery Physician in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Plastic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.