Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Inna Ialama

Individual provider Physician Assistant · NPI 1043175573

Inna Ialama is a Physician Assistant in Kenosha, Wisconsin. Qualified in 2025, 1 year ago. Practices with Aurora Advanced Healthcare, Inc, a 1,101-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
1
Licensed in
WI
In the registry since
2025

Practice location Address checks out

6811 118th Ave
Kenosha, WI 53142-8420
Phone: (262) 857-5750
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8603-23 (WI)

Record details

NPI number1043175573
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedDecember 17, 2025
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026
Mailing addressPo Box 735044, Chicago, IL 60673-5044

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Aurora Advanced Healthcare, Inc. — 1101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Kenosha