Provider Demographics
NPI:1720295306
Name:REHABILITATION CARE GROUP
Entity Type:Organization
Organization Name:REHABILITATION CARE GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NINO
Authorized Official - Middle Name:
Authorized Official - Last Name:DIIULLO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-781-4138
Mailing Address - Street 1:6525 W CAMPUS OVAL
Mailing Address - Street 2:SUITE 150
Mailing Address - City:NEW ALBANY
Mailing Address - State:OH
Mailing Address - Zip Code:43054-8830
Mailing Address - Country:US
Mailing Address - Phone:614-433-2020
Mailing Address - Fax:614-433-2021
Practice Address - Street 1:6525 W CAMPUS OVAL
Practice Address - Street 2:SUITE 150
Practice Address - City:NEW ALBANY
Practice Address - State:OH
Practice Address - Zip Code:43054-8830
Practice Address - Country:US
Practice Address - Phone:614-433-2020
Practice Address - Fax:614-433-2021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction MedicineGroup - Multi-Specialty