MEDICARE: INNOVATIVE RECOVERY NETWORK OF WISCONSIN LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0850X	Adult Mental Health Clinic/Center
2	261Q00000X	Clinic/Center	2961	WI
3	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1427332501
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INNOVATIVE RECOVERY NETWORK OF WISCONSIN LLC

Provider Business Mailing Address
First Line	:	1314 W NATIONAL AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53204-2114
Country	:	US
Telephone Number	:	414-383-4432
Fax Number	:	414-383-4482

Provider Business Practice Location Address
First Line	:	1314 W NATIONAL AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53204-2114
Country	:	US
Telephone Number	:	414-383-4432
Fax Number	:	414-383-4482

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RONALD HEGEL
Credential	:
Telephone Number	:	414-383-4432

Provider Enumeration Date	:	10/06/2011
Last Update Date	:	05/08/2012

Similar Medicare Providers

1952590556 — JENNIFER L HENRY MSW, CSAC, ICS, CSW
Practice Location Address:

1314 W NATIONAL AVE
MILWAUKEE, WI
53204-2114

Practice Phone: 414-727-7985
Practice Fax: 414-727-8121

1891023818 — C E GARCIA BS, CSAC, PNM-C
Practice Location Address:

1314 W NATIONAL AVE
MILWAUKEE, WI
53204-2114

Practice Phone: 414-949-9760
Practice Fax:

1427367085 — RECOVERY NETWORK, INC
Practice Location Address:

1314 W NATIONAL AVE
MILWAUKEE, WI
53204-2114

Practice Phone: 414-647-9930
Practice Fax: 414-647-9931

1922474873 — ABILITY GROUP DME LLC
Practice Location Address:

1314 W NATIONAL AVE , SUITE B
MILWAUKEE, WI
53204-2114

Practice Phone: 414-645-7434
Practice Fax: 414-645-7787

1861489536 — DR. RIZWANULLAH ARAIN M.D.
Practice Location Address:

6026 W LISBON AVE
MILWAUKEE, WI
53210-2114

Practice Phone: 414-442-3630
Practice Fax: 414-449-8552

1952434011 — IJAZ MOHAMMAD KHAN M.D.
Practice Location Address:

6026 W LISBON AVE
MILWAUKEE, WI
53210-2114

Practice Phone: 414-334-9715
Practice Fax:

Directions to “INNOVATIVE RECOVERY NETWORK OF WISCONSIN LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.