Individual provider · Type 1 NPI
Marissa Jane Versalle, DO
Internal Medicine Physician · Lake Forest, IL
Practice location
990 S Waukegan Rd Fl 2
Lake Forest, IL 60045-2654
Fax (847) 861-0026
Mailing address
990 S Waukegan Rd Ste 200
Lake Forest, IL 60045-2654
Other practice locations
- 1000 N Westmoreland Rd, Lake Forest, IL 60045 · (847) 234-5600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospitalist Physician | 208M00000X | 036.146901 (IL) |
| Hospitalist Physician | 208M00000X | 34.012714 (OH) |
| Internal Medicine Physician Primary | 207R00000X | 036146901 (IL) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…
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About NPI 1669891107
Marissa Jane Versalle, DO's National Provider Identifier is 1669891107, issued on Apr 14, 2014. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Lake Forest, IL. The record was last updated on Jan 12, 2026.