| LCA CASE NUMBER | I-200-19150-591570 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 2019-06-10 |
| DECISION DATE | 2019-06-14 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 2019-08-01 |
| EMPLOYMENT END DATE | 2022-07-31 |
| LCA CASE EMPLOYER NAME | CRUSADERS CENTRAL CLINIC ASSOCIATION |
| EMPLOYER BUSINESS DBA | CRUSADER COMMUNITY HEALTH |
| EMPLOYER ADDRESS | 1200 WEST STATE STREET |
| EMPLOYER CITY | ROCKFORD |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 61102 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 8154909016 |
| SECONDARY ENTITY | False |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY NAME | JANPEDERSON |
| AGENT ATTORNEY CITY | WASHINGTON |
| AGENT ATTORNEY STATE | DC |
| LCA CASE JOB TITLE | PHYSICIAN / FAMILY MEDICINE |
| SOC CODE | 29-1069 |
| SOC NAME | PHYSICIANS AND SURGEONS, ALL OTHER |
| NAICS CODE | 621111 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | True |
| PREVAILING WAGE | 179501 |
| PW UNIT OF PAY | Year |
| PW SOURCE | SURVEY |
| PW SOURCE OTHER | MEDICAL GROUP MANAGEMENT ASSOCIATION - PROVIDER CO |
| LCA CASE WAGE RATE FROM | 188000 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | False |
| LCA CASE WORKLOC1 CITY | ROCKFORD |
| WORKSITE COUNTY | WINNEBAGO |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 61104 |
| WILLFUL VIOLATOR | False |
