| LCA CASE NUMBER | I-200-20076-409183 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-03-16 |
| DECISION DATE | 2020-03-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PHYSICIAN |
| SOC CODE | 29-1069.03 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-04-07 |
| END DATE | 2023-04-06 |
| 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 | MARION VA MEDICAL CENTER |
| EMPLOYER ADDRESS1 | 2401 WEST MAIN ST |
| EMPLOYER CITY | MARION |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 62959 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16189975311 |
| NAICS CODE | 92119 |
| EMPLOYER POC LAST NAME | HARTWELL |
| EMPLOYER POC FIRST NAME | TIMOTHY |
| EMPLOYER POC MIDDLE NAME | S |
| EMPLOYER POC JOB TITLE | CHIEF, HUMAN RESOURCES MANAGEMENT SERVICE |
| EMPLOYER POC ADDRESS1 | 2401 WEST MAIN ST |
| EMPLOYER POC CITY | MARION |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 62959 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16189975311 |
| EMPLOYER POC EMAIL | TIMOTHY.HARTWELL@VA.GOV |
| AGENT REPRESENTING EMPLOYER | N |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 2401 WEST MAIN ST |
| LCA CASE WORKLOC1 CITY | MARION |
| WORKSITE COUNTY | WILLIAMSON |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 62959 |
| LCA CASE WAGE RATE FROM | 200890.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 122928.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | WEST |
| PREPARER FIRST NAME | AUDREY |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | VA MEDICAL CENTER |
| PREPARER EMAIL | AUDREY.WEST@VA.GOV |
