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Individual

THEODORE BOSI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
800 N WESTMORELAND RD STE 201, LAKE FOREST, IL 60045-1687
(847) 535-6489
(847) 535-7655
Mailing address
800 N WESTMORELAND RD STE 201, LAKE FOREST, IL 60045-1687
(847) 535-6489
(847) 535-7655

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036165788
IL
2084P0800X
Psychiatry Physician
ME149254
FL

Other

Enumeration date
03/19/2019
Last updated
11/30/2023
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