Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Theodore Bosi

Individual provider Psychiatry Physician · NPI 1881153765

Theodore Bosi is a Psychiatry in Lake Forest, Illinois. Graduated from Creighton University School of Medicine in 2019, 7 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida and Illinois.

Years since qualifying
7
Trained at
Creighton University School of Medicine
Licensed in
FL, IL
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

800 N Westmoreland Rd Ste 201
Lake Forest, IL 60045-1687
Phone: (847) 535-6489
Fax: (847) 535-7655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2001 Kingsley Ave, Orange Park, FL 32073-5148 — (904) 639-2000

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 036165788 (IL)
Psychiatry Physician Taxonomy 2084P0800X · Licence ME149254 (FL)

Record details

NPI number1881153765
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 19, 2019
Last updated in NPPESNovember 30, 2023
Certification dateNovember 30, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Lake Forest