DR. Marissa Jane Versalle, DO

NPI #1669891107 in Lake Forest, Illinois

Provider Information

NPI Number: 1669891107
Entity Type: Individual
Name: DR. Marissa Jane Versalle, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: DO
Enumeration Date: Apr 14, 2014
Last Updated: Jan 12, 2026

Practice Location

Address: 990 S WAUKEGAN RD FL 2
City: Lake Forest
State: Illinois
ZIP Code: 60045-2654
Phone: (847) 861-0025

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Hospitalist	208M00000X
Internal Medicine	207R00000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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