| LCA CASE NUMBER | I-200-21019-021111 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-01-19 |
| DECISION DATE | 2021-01-26 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Medicine Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-16 |
| END DATE | 2024-07-15 |
| 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 | HSHS Medical Group, Inc. |
| EMPLOYER ADDRESS1 | 3051 Hollis Drive |
| EMPLOYER CITY | Springfield |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 62704 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12174929153 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Brewer |
| EMPLOYER POC FIRST NAME | Debbie |
| EMPLOYER POC JOB TITLE | Manager, Provider Recruitment & Development |
| EMPLOYER POC ADDRESS 1 | 3051 Hollis Drive |
| EMPLOYER POC CITY | Springfield |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 62704 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12174929265 |
| EMPLOYER POC EMAIL | debbie.brewer@hshs.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Zollinger |
| AGENT ATTORNEY FIRST NAME | Jeremy |
| AGENT ATTORNEY MIDDLE NAME | Scott |
| AGENT ATTORNEY ADDRESS1 | 1100 Poydras Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1485 |
| AGENT ATTORNEY CITY | New Orleans |
| AGENT ATTORNEY STATE | LA |
| AGENT ATTORNEY POSTAL CODE | 70163 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15048811300 |
| AGENT ATTORNEY EMAIL ADDRESS | jzollinger@zollingerlaw.com |
| LAWFIRM NAME BUSINESS NAME | Zollinger Immigration, ALC |
| STATE OF HIGHEST COURT | LA |
| NAME OF HIGHEST STATE COURT | Louisiana Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 125 Plummer Blvd. |
| LCA CASE WORKLOC1 CITY | Chatham |
| WORKSITE COUNTY | SANGAMON |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 62629 |
| LCA CASE WAGE RATE FROM | 230000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 154565 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
