Individual ProviderKinji ArikawaInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1901 W. Harrison, Chicago, IL 60612-3714(312) 864-6000PECOS EnrollmentBased on the most recent information from CMS, provider Kinji Arikawa is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1083467484Provider TypeIndividualFull NameArikawa, KinjiTitleMr.CredentialMD/MBBSGenderMaleSole ProprietorNoEnumeration Date4/8/2024Last Updated8/22/2024Contact InformationPractice LocationPractice Address1901 W. Harrison, Chicago, IL 60612-3714Phone(312) 864-6000FaxUnlisted FaxMailing LocationMailing Address1901 W. Harrison, Chicago, IL 60612-3714Phone(312) 864-6000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense125083870IllinoisCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer