Active NPI
Max Rosenstock Emmerling, DDS, MD
- Oral & Maxillofacial Surgery (D.M.D.)
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- 036.156717
- Practice address
- 1969 W Ogden Ave
Chicago, IL 60612-3765 - Phone
- (312) 864-0200
- NPI assigned
- Mar 10, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 036156717 | IL | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 036.156717 | IL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1969 W Ogden Ave
Chicago, IL 60612-3765
Mailing address
1901 W Harrison St
Clinic D, Oral Maxillofacial Surgery
Chicago, IL 60612-3714
Phone (312) 864-5159
Other practice location 1
676 N Saint Clair St Ste 520
Chicago, IL 60611-2982
Phone (312) 926-5992
Other practice location 2
811 W Wellington Ave
Chicago, IL 60657-5123
Phone (773) 245-5253
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Oral Surgery
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1901 W Harrison St
Chicago, IL 60612-3714
Phone (312) 633-7292
251 E Huron
Chicago, IL 60611-2908
251 E Huron St
Chicago, IL 60611-2908
675 N Saint Clair St
Chicago, IL 60611-5975
675 N St Clair
Chicago, IL 60611-5975
811 W Wellington Ave
Chicago, IL 60657-5123
Phone (773) 296-7645
Hospital & facility affiliations
- John H Stroger Jr Hospital
- Northwestern Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036156717 | IL | MD | Oral and Maxillofacial Surgery (Dentist) |
| 036.156717 | IL | MD | Oral & Maxillofacial Surgery (D.M.D.) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oral and Maxilloficial Head and Neck Associates LLC | Oral & Maxillofacial Surgery | Current | Accepting new patients |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Cook County | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Cook County | Current | Accepting new patients | |
| Cook County | Current | Accepting new patients | |
| John H Stroger Jr Hospital Cook County | Past | Accepting new patients | |
| University of Maryland Oral Maxillofacial Surgery Assoc PA | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Locations
Carol Stream, IL 60122
Phone (630) 933-3300
1900 W Polk St
Ste 220
Chicago, IL 60612
Phone (312) 864-5504
1969 W Ogden Ave
Chicago, IL 60612
Phone (312) 864-3600
1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100
500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000
811 W Wellington Ave
Chicago, IL 60657
Phone (773) 871-1461
1901 W Harrison St
#D
Chicago, IL 60612
676 N Saint Clair St
Ste 520
Chicago, IL 60611
Phone (312) 926-5992
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1588612832
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Chicago, IL
- NPI 1821652736
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1821385170
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1831219450
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1992914733
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Baltimore, MD
- NPI 1538221825
Oral and Maxillofacial Surgery
Hospital & facility affiliations 28
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772064000000",
"number": "1679966972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 W HARRISON ST",
"address_2": "CLINIC D, ORAL MAXILLOFACIAL SURGERY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123714",
"telephone_number": "312-864-5159",
"fax_number": "312-864-9827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1969 W OGDEN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123765",
"telephone_number": "312-864-0200"
}
],
"practiceLocations": [
{
"address_1": "676 N Saint Clair St Ste 520",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606112982",
"country_code": "US",
"telephone_number": "312-926-5992",
"fax_number": "312-695-4303",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "811 W Wellington Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606575123",
"country_code": "US",
"telephone_number": "773-245-5253",
"fax_number": "773-295-1026",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EMMERLING",
"first_name": "MAX",
"middle_name": "ROSENSTOCK",
"credential": "DDS, MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-10",
"last_updated": "2026-02-26",
"certification_date": "2026-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "IL",
"license": "036156717",
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "IL",
"license": "036.156717",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.