Individual
MAX ROSENSTOCK EMMERLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
1969 W OGDEN AVE, CHICAGO, IL 60612-3765
(312) 864-0200
Mailing address
1901 W HARRISON ST, CLINIC D, ORAL MAXILLOFACIAL SURGERY, CHICAGO, IL 60612-3714
(312) 864-5159
(312) 864-9827
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
036156717
IL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
036.156717
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/10/2015
Last updated
02/26/2026
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