MEDICARE: DR. KARIM ELOTHMANI DMD

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	122300000X	Dentist	019035481	IL

General Provider Information

NPI Number	:	1821719048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KARIM ELOTHMANI DMD

Provider Business Mailing Address
First Line	:	195 WAUKEGAN RD UNIT 221
Second Line	:
City	:	GLENVIEW
State	:	IL
Zip	:	60025-5157
Country	:	US
Telephone Number	:	917-353-0749
Fax Number	:

Provider Business Practice Location Address
First Line	:	3074 W IL ROUTE 60
Second Line	:
City	:	MUNDELEIN
State	:	IL
Zip	:	60060-4270
Country	:	US
Telephone Number	:	917-353-0749
Fax Number	:

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

Provider Enumeration Date	:	09/06/2022
Last Update Date	:	08/28/2025

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