| LCA CASE NUMBER | I-200-21060-108698 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-01 |
| DECISION DATE | 2021-03-08 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | General Surgeon |
| SOC CODE | 29-1067.00 |
| SOC TITLE | Surgeons |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-01 |
| END DATE | 2024-06-30 |
| 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 | Wabash General Hospital District |
| EMPLOYER ADDRESS1 | 1418 College Dr |
| EMPLOYER CITY | Mt. Carmel |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 62863 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16182628621 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Shepard |
| EMPLOYER POC FIRST NAME | Mary |
| EMPLOYER POC MIDDLE NAME | Bridget |
| EMPLOYER POC JOB TITLE | Director of Human Resources |
| EMPLOYER POC ADDRESS 1 | 1418 College Dr |
| EMPLOYER POC CITY | Mt. Carmel |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 62863 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16182628621 |
| EMPLOYER POC EMAIL | bshepard@wabashgeneral.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Baldwin |
| AGENT ATTORNEY FIRST NAME | Tiffany |
| AGENT ATTORNEY MIDDLE NAME | Lynn |
| AGENT ATTORNEY ADDRESS1 | 10314 LINCOLN TRAIL |
| AGENT ATTORNEY ADDRESS2 | STE 102 |
| AGENT ATTORNEY CITY | Fairview Heights |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 62208 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16186880590 |
| AGENT ATTORNEY EMAIL ADDRESS | tiffany@compassimmigrationlaw.com |
| LAWFIRM NAME BUSINESS NAME | Compass Immigration Law |
|
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Supreme Court of Illinois |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1418 College Dr |
| LCA CASE WORKLOC1 CITY | Mt. Carmel |
| WORKSITE COUNTY | WABASH |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 62863 |
| LCA CASE WAGE RATE FROM | 300000 |
| LCA CASE WAGE RATE TO | 400000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| 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 |
