Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kevin Izquierdo

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1205449626

Kevin Izquierdo is a Sports Medicine (Family Medicine) Physician in Carbondale, Illinois. Licensed in Illinois. Registered with an NPI since 2020.

Licensed in
IL
In the registry since
2020

Practice location Address checks out

300 W Oak St Ste 200
Carbondale, IL 62901-1400
Phone: (618) 536-6621
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 125.086053 (IL)

Record details

NPI number1205449626
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 25, 2020
Last updated in NPPESDecember 22, 2025
Certification dateDecember 22, 2025
Mailing address300 W Oak St Ste 200, Carbondale, IL 62901-1400

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