Individual
MR. PAUL JAMES KULICK
Active
Sole proprietor
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
07/08/2007
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