| LCA CASE NUMBER | I-200-21095-197831 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-05 |
| DECISION DATE | 2021-04-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Critical Care Physician |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-06-30 |
| END DATE | 2024-06-29 |
| 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 | Springfield Clinic |
| EMPLOYER ADDRESS1 | 1025 South 6th Street |
| EMPLOYER CITY | Springfield |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 62703 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12175287541 |
| NAICS CODE | 6211 |
| EMPLOYER POC LAST NAME | Walwer |
| EMPLOYER POC FIRST NAME | Jenn |
| EMPLOYER POC JOB TITLE | Employee Relations Specialist |
| EMPLOYER POC ADDRESS 1 | 1025 South 6th Street |
| EMPLOYER POC CITY | Springfield |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 62703 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12175287541 |
| EMPLOYER POC EMAIL | jwalwer@springfieldclinic.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Sherman |
| AGENT ATTORNEY FIRST NAME | Ted |
| AGENT ATTORNEY MIDDLE NAME | Scott |
| AGENT ATTORNEY ADDRESS1 | 26111 W 14 MILE RD STE 104 |
| AGENT ATTORNEY CITY | FRANKLIN |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48025-1170 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12488517575 |
| AGENT ATTORNEY EMAIL ADDRESS | tss225@aol.com |
| LAWFIRM NAME BUSINESS NAME | Sherman Immigration Lawyers PC |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Supreme Court |
|
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Memorial Medical Center |
| WORKSITE ADDRESS1 | 701 N First Street |
| LCA CASE WORKLOC1 CITY | Springfield |
| WORKSITE COUNTY | SANGAMON |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 62781 |
| LCA CASE WAGE RATE FROM | 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 | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
