| LCA CASE NUMBER | I-200-20049-331644 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-02-18 |
| DECISION DATE | 2020-02-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PHYSICIAN / FAMILY MEDICINE |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-29 |
| END DATE | 2023-07-29 |
| 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 | CRUSADERS CENTRAL CLINIC ASSOCIATION |
| TRADE NAME DBA | CRUSADER COMMUNITY HEALTH |
| EMPLOYER ADDRESS1 | 1200 WEST STATE STREET |
| EMPLOYER CITY | ROCKFORD |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 61102 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18154909016 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | DAVENPORT |
| EMPLOYER POC FIRST NAME | PEGGYANNE |
| EMPLOYER POC MIDDLE NAME | W. |
| EMPLOYER POC JOB TITLE | EXECUTIVE ASSISTANT |
| EMPLOYER POC ADDRESS1 | 1200 WEST STATE STREET |
| EMPLOYER POC CITY | ROCKFORD |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 61102 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18154901616 |
| EMPLOYER POC EMAIL | PDAVENPORT@CRUSADERHEALTH.ORG |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | PEDERSON |
| AGENT ATTORNEY FIRST NAME | JAN |
| AGENT ATTORNEY MIDDLE NAME | M. |
| AGENT ATTORNEY ADDRESS1 | 1800 MASSACHUSETTS AVE NW |
| AGENT ATTORNEY ADDRESS2 | SUITE 300 |
| AGENT ATTORNEY CITY | WASHINGTON |
| AGENT ATTORNEY STATE | DC |
| AGENT ATTORNEY POSTAL CODE | 20036 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12024830053.0 |
| AGENT ATTORNEY PHONE EXT | 104.0 |
| AGENT ATTORNEY EMAIL ADDRESS | jroffe@maggio-kattar.com |
| LAWFIRM NAME BUSINESS NAME | MAGGIO KATTAR |
| STATE OF HIGHEST COURT | DC |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF THE UNITED STATES |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1200 West State Street |
| LCA CASE WORKLOC1 CITY | Rockford |
| WORKSITE COUNTY | WINNEBAGO |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 61102 |
| LCA CASE WAGE RATE FROM | 191105.98 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 187002.0 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2020.0 |
| PW SURVEY PUBLISHER | Medical Group Management Association |
| PW SURVEY NAME | MGMA: Provider Compensation Report |
| TOTAL WORKSITE LOCATIONS | 5.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
