PAUL JAMES KULICK

ROCKFORD, IL
NPI1467411892
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096000542)
Enumeration Date2006-03-23
Last Update Date2007-07-08
Business Address
Mr. PAUL JAMES KULICK ATC
1340 CHARLES ST STE 100
ROCKFORD, IL 61104
Phone number: 815-399-1975
Mailing Address
Mr. PAUL JAMES KULICK ATC
5282 CONGVALLEY DR
ROCKFORD, IL 61109
Phone number: 815-399-1975