Individual
MR. PAUL JAMES KULICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1340 CHARLES ST, STE 100, ROCKFORD, IL 61104
(815) 399-1975
(815) 399-3207
Mailing address
5282 CONGVALLEY DR, ROCKFORD, IL 61109
(815) 399-1975
(815) 399-3207
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
03/23/2006
Last updated
07/13/2026
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