| LCA CASE NUMBER | I-200-20167-652841 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-06-15 |
| DECISION DATE | 2020-06-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist |
| SOC CODE | 29-1069 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-08-01 |
| END DATE | 2023-07-31 |
| 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 | Northeast Internal Medicine Associates, P.C. |
| EMPLOYER ADDRESS1 | 2500 N Detroit St |
| EMPLOYER CITY | LaGrange |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46761 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12604632133 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Kashyap |
| EMPLOYER POC FIRST NAME | Shashank |
| EMPLOYER POC MIDDLE NAME | M |
| EMPLOYER POC JOB TITLE | Owner |
| EMPLOYER POC ADDRESS1 | 2500 N Detroit St |
| EMPLOYER POC CITY | LaGrange |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 46761 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12604632133 |
| EMPLOYER POC EMAIL | skashyap2@gmail.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Hitz |
| AGENT ATTORNEY FIRST NAME | Alison |
| AGENT ATTORNEY MIDDLE NAME | P. |
| AGENT ATTORNEY ADDRESS1 | One Embarcadero Center |
| AGENT ATTORNEY ADDRESS2 | Ste. 400 |
| AGENT ATTORNEY CITY | San Francisco |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94111 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14159848563.0 |
| AGENT ATTORNEY EMAIL ADDRESS | ahitz@ClarkHill.com |
| LAWFIRM NAME BUSINESS NAME | Clark Hill PLC |
|
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | Parkview Dekalb Hospital |
| WORKSITE ADDRESS1 | 1316 E. 7th Street |
| LCA CASE WORKLOC1 CITY | Auburn |
| WORKSITE COUNTY | DEKALB |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 46706 |
| LCA CASE WAGE RATE FROM | 270000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 160971.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 5 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Hitz |
| PREPARER FIRST NAME | Alison |
| PREPARER MIDDLE INITIAL | P. |
| PREPARER BUSINESS NAME | Clark Hill PLC |
| PREPARER EMAIL | ahitz@ClarkHill.com |
