| LCA CASE NUMBER | I-200-20035-296369 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-02-04 |
| DECISION DATE | 2020-02-11 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-27 |
| END DATE | 2023-07-27 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Chittaranjan Patel MD |
| EMPLOYER ADDRESS1 | 2075 Indianapolis Blvd |
| EMPLOYER CITY | Whiting |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46394 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12196597000 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Patel |
| EMPLOYER POC FIRST NAME | Chittaranjan |
| EMPLOYER POC JOB TITLE | Physician |
| EMPLOYER POC ADDRESS1 | 2075 Indianapolis Blvd |
| EMPLOYER POC CITY | Whiting |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 46394 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12196597000 |
| EMPLOYER POC EMAIL | drandmrspatel@yahoo.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Siebert |
| AGENT ATTORNEY FIRST NAME | William |
| AGENT ATTORNEY MIDDLE NAME | N |
| AGENT ATTORNEY ADDRESS1 | 307 N Michigan Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 924 |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60601 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13123290646.0 |
| AGENT ATTORNEY EMAIL ADDRESS | wns@siebert-immigrationlaw.com |
| LAWFIRM NAME BUSINESS NAME | William Newell Siebert PC |
| STATE OF HIGHEST COURT | IL |
|
| NAME OF HIGHEST STATE COURT | IL |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 2075 Indianapolis Blvd |
| LCA CASE WORKLOC1 CITY | Whiting |
| WORKSITE COUNTY | LAKE |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 46394 |
| LCA CASE WAGE RATE FROM | 360000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 238056.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 5.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Siebert |
| PREPARER FIRST NAME | William |
| PREPARER MIDDLE INITIAL | N |
| PREPARER BUSINESS NAME | William Newell Siebert PC |
| PREPARER EMAIL | wns@siebert-immigrationlaw.com |
