| LCA CASE NUMBER | I-200-20231-775072 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-08-18 |
| DECISION DATE | 2020-08-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-08-24 |
| END DATE | 2023-08-23 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Decatur Memorial Hospital |
| EMPLOYER ADDRESS1 | 2300 N. Edwards Street |
| EMPLOYER CITY | Decatur |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 62526 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12178762115 |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | Largent |
| EMPLOYER POC FIRST NAME | Morgan |
| EMPLOYER POC JOB TITLE | Director, Medical Staff Office |
| EMPLOYER POC ADDRESS1 | 2300 N. Edward Street |
| EMPLOYER POC CITY | Decatur |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 62526 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12178762115 |
| EMPLOYER POC EMAIL | Largent.Morgan@mhsil.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Najfabadi |
| AGENT ATTORNEY FIRST NAME | Elahe |
| AGENT ATTORNEY ADDRESS1 | 1999 Avenue of the Stars |
| AGENT ATTORNEY CITY | Los Angeles |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90067 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13102846898.0 |
| AGENT ATTORNEY EMAIL ADDRESS | ellie@enajfabadi.com |
| LAWFIRM NAME BUSINESS NAME | Law Offices of Elahe Najfabadi |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | California Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 2975 N. Water Street |
| LCA CASE WORKLOC1 CITY | Decatur |
| WORKSITE COUNTY | MACON |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 62526 |
| LCA CASE WAGE RATE FROM | 265000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000.0 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
