Individual
ADARA SIMONELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
24 JOLIET ST, DYER, IN 46311-1705
(219) 852-1524
(219) 933-2288
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1489
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003522A
IN
363AM0700X
Medical Physician Assistant
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Other
Enumeration date
02/27/2020
Last updated
04/21/2025
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