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
Mailing address800 N Westmoreland Rd Ste 201, Lake Forest, IL 60045-1687

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