Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARISSA JANE VERSALLE, DO
ActiveDR. MARISSA JANE VERSALLE, DO is a Internal Medicine healthcare provider located in LAKE FOREST, Illinois. NPI 1669891107 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · LAKE FOREST, IL
Registration Details
- NPI Number
- 1669891107
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 14, 2014 (12.318898947904 yrs)
- Last Updated
- Jan 12, 2026
- Licenses
-
036.146901 (IL)34.012714 (OH)036146901 (IL)
Practice Information
- Address
-
990 S WAUKEGAN RD FL 2LAKE FOREST, IL, 600452654Browse IL providers · Browse ZIP 60045
- Phone
- 8478610025
- Fax
- 8478610026
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Hospitalist
- Additional Specialty
- Internal Medicine
- Additional Specialty
- Student (Health Education/Training)
Other Internal Medicine Providers in LAKE FOREST, IL
| Name | Credential | NPI |
|---|---|---|
| SAM F HULL | MD | 1053319277 |
| DR. ELISABETH K CORMIER | MD | 1891781241 |
| DR. GARY EDWARD SCHAFFEL | M.D. | 1336123884 |
| DR. JASON T GARTI | M.D. | 1003890500 |
| DR. SCOTT EDWARD BRAUNLICH | M.D. | 1487638904 |
| DR. MICHAEL JON SOMMERFELD | MD | 1578547063 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.