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Marissa Versalle, DO
NPI 1669891107 · on the registry since 2014
Practice
- Address
- 990 S Waukegan Rd Fl 2
Lake Forest, IL 60045 - Phone
- (847) 861-0025
- Fax
- (847) 861-0026
- Organisation at this address
- Element Med Spa, Llc
Forward Focus Medical Care LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Additional practice sites
- 1000 N Westmoreland Rd, Lake Forest, IL
Registry record
- Primary taxonomy
- Internal Medicine Physician
207R00000X
- Also registered as
- Hospitalist Physician
Hospitalist Physician
Student in an Organized Health Care Education/Training Program - Licence states on file
- IL, OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-01-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois