| Theodore Bosi, | |
|
800 N Westmoreland Rd Ste 201, Lake Forest, IL 60045-1687 | |
| (847) 535-6489 | |
| (847) 535-7655 |
| Full Name | Theodore Bosi |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 800 N Westmoreland Rd Ste 201, Lake Forest, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881153765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME149254 (Florida) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036165788 (Illinois) | Primary |
| Entity Name | Northwestern Medical Faculty Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore Bosi, 800 N Westmoreland Rd Ste 201, Lake Forest, IL 60045-1687 Ph: (847) 535-6489 | Theodore Bosi, 800 N Westmoreland Rd Ste 201, Lake Forest, IL 60045-1687 Ph: (847) 535-6489 |
Archie Lim Ong, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1000 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-535-8500 Fax: 847-535-8499 | |
Dr. Charulatha Nagar, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1000 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-535-7658 Fax: 847-535-7150 | |
Dr. Deborah A Reed, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1 Westminster Pl, Suite 104, Lake Forest, IL 60045 Phone: 847-295-4248 | |
Dr. Avram Yehuda Fraint, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1000 N Westmoreland Rd # Level3, Lake Forest, IL 60045 Phone: 847-535-1658 Fax: 847-535-7148 | |
Suemin Jasmine Yoon, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1000 N Westmoreland Rd # Level3, Lake Forest, IL 60045 Phone: 847-535-7658 Fax: 847-535-7150 | |
Dr. Harriett Hays Butchko, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 65 Barnswallow Ln, Lake Forest, IL 60045 Phone: 847-420-0388 | |
Dr. Charles Henry Ludmer, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 725 N Mckinley Rd, Suite 100, Lake Forest, IL 60045 Phone: 847-295-0909 Fax: 847-295-3636 |