Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN IZQUIERDO
ActiveKEVIN IZQUIERDO is a Sports Medicine healthcare provider located in CARBONDALE, Illinois. NPI 1205449626 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · CARBONDALE, IL
Registration Details
- NPI Number
- 1205449626
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 25, 2020 (5.9261536617088 yrs)
- Last Updated
- Dec 22, 2025
- License
-
125.086053 (IL)
Practice Information
- Address
-
300 W OAK ST STE 200CARBONDALE, IL, 629011400Browse IL providers · Browse ZIP 62901
- Phone
- 6185366621
- Primary Specialty
-
Sports Medicine
207QS0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.