| LCA CASE NUMBER | I-200-20225-765140 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-08-12 |
| DECISION DATE | 2020-08-19 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Moonlighter-House Physician |
| SOC CODE | 29-1069.03 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-11-14 |
| END DATE | 2023-11-13 |
| 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 | Presence Chicago Hospitals Network |
| TRADE NAME DBA | Presence Holy Family Medical Center |
| EMPLOYER ADDRESS1 | 100 North River Road |
| EMPLOYER CITY | Des Plaines |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 60016 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18478133542 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Holland |
| EMPLOYER POC FIRST NAME | Kristin |
| EMPLOYER POC MIDDLE NAME | Ann |
| EMPLOYER POC JOB TITLE | Director, Medical Staff Administration |
| EMPLOYER POC ADDRESS1 | 100 North River Road |
| EMPLOYER POC CITY | Des Plaines |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 60016 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18478133542 |
| EMPLOYER POC EMAIL | kristin.holland@amitahealth.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Sherman |
| AGENT ATTORNEY FIRST NAME | Michael |
| AGENT ATTORNEY MIDDLE NAME | Ian |
| AGENT ATTORNEY ADDRESS1 | PO Box 252133 |
| AGENT ATTORNEY CITY | West Bloomfield |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48325 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12488517575.0 |
| AGENT ATTORNEY EMAIL ADDRESS | greencards@aol.com |
| LAWFIRM NAME BUSINESS NAME | Sherman Immigration Lawyers, P.C. |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 100 North River Road |
| LCA CASE WORKLOC1 CITY | Des Plaines |
| WORKSITE COUNTY | COOK |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 60016 |
| LCA CASE WAGE RATE FROM | 125.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 112.99 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
