NPIMap

Individual provider Active NPI

Max Rosenstock Emmerling, DDS, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Chicago, IL
National Provider Identifier
1679966972
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
036.156717 Issued in IL
Practice address
1969 W Ogden Ave
Chicago, IL 60612-3765
Phone
(312) 864-0200
NPI assigned
Mar 10, 2015
Last updated
Feb 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210611001411 IL Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 0244539443 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Oral SurgeryAlso: Maxillofacial Surgery
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cook CountyGroup PAC ID 2860398088, 770 clinicians
Oral and Maxilloficial Head and Neck Associates LLCGroup PAC ID 1951634500, 5 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036156717ILMDOral and Maxillofacial Surgery (Dentist)
036.156717ILMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Apr 1, 2026 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Apr 1, 2026 Accepting new patients
Cook County Current Accepting new patients
Cook County CurrentSince Jun 17, 2021 Accepting new patients
Oral and Maxilloficial Head and Neck Associates LLC Oral & Maxillofacial Surgery CurrentSince Sep 1, 2021 Accepting new patients
Cook County CurrentSince Jun 17, 2021 Accepting new patients
University of Maryland Oral Maxillofacial Surgery Assoc PA Oral and Maxillofacial Surgery Past Accepting new patients
John H Stroger Jr Hospital Cook County 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

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

1901 W Harrison St
#D
Chicago, IL 60612

1969 W Ogden Ave
Chicago, IL 60612
Phone (312) 864-3600

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

676 N Saint Clair St
Ste 520
Chicago, IL 60611
Phone (312) 926-5992

811 W Wellington Ave
Chicago, IL 60657
Phone (773) 871-1461

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 28

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 28

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

Verify at the official NPI Registry.