| LCA CASE NUMBER | I-200-20114-512045 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-04-23 |
| DECISION DATE | 2020-04-30 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | NEPHROLOGIST |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-01 |
| END DATE | 2023-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | KIDNEY CARE CENTER OLYMPIA FIELDS, LLC |
| EMPLOYER ADDRESS1 | 3322 VOLLMER RD. |
| EMPLOYER CITY | OLYMPIA FIELDS |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 60461 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17088980811 |
| NAICS CODE | 621492 |
| EMPLOYER POC LAST NAME | MUTHART |
| EMPLOYER POC FIRST NAME | LAUREN |
| EMPLOYER POC JOB TITLE | CREDENTIALING & IMMIGRATION SPECIALIST |
| EMPLOYER POC ADDRESS1 | 812 CAMPUS DR. |
| EMPLOYER POC CITY | JOLIET |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 60435 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18157147171 |
| EMPLOYER POC EMAIL | LMUTHART@KIDNEYCARES.COM |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | BICKFORD |
| AGENT ATTORNEY FIRST NAME | KRYSTAL |
| AGENT ATTORNEY MIDDLE NAME | ADELE |
| AGENT ATTORNEY ADDRESS1 | 53 W. JACKSON BLVD. |
| AGENT ATTORNEY ADDRESS2 | SUITE 809 |
| AGENT ATTORNEY CITY | CHICAGO |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60604 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13125660301.0 |
| AGENT ATTORNEY EMAIL ADDRESS | KAB@CHARLESWINTERSTEEN.COM |
| LAWFIRM NAME BUSINESS NAME | CHARLES H. WINTERSTEEN, P.C. |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | FRANCISCAN HEALTH OLYMPIA FIELDS |
| WORKSITE ADDRESS1 | 20201 S. CRAWFORD AVE. |
| LCA CASE WORKLOC1 CITY | OLYMPIA FIELDS |
| WORKSITE COUNTY | COOK |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 60461 |
| LCA CASE WAGE RATE FROM | 220000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 170352.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
