| LCA CASE NUMBER | I-200-21116-257231 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-26 |
| DECISION DATE | 2021-05-03 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-06-28 |
| END DATE | 2024-06-27 |
| 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 | Lake County Health Department & Community Health Center |
| EMPLOYER ADDRESS1 | 3010 Grand Avenue |
| EMPLOYER CITY | Waukegan |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 60085 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18473772249 |
| NAICS CODE | 921110 |
| EMPLOYER POC LAST NAME | Harris |
| EMPLOYER POC FIRST NAME | Lorraine |
| EMPLOYER POC JOB TITLE | Director, Human Resources |
| EMPLOYER POC ADDRESS 1 | 3010 Grand Ave |
| EMPLOYER POC CITY | Waukegan |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 60085 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18473778053 |
| EMPLOYER POC EMAIL | lharris@lakecountyil.gov |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Kriezelman |
| AGENT ATTORNEY FIRST NAME | Matthew |
| AGENT ATTORNEY MIDDLE NAME | Scott |
| AGENT ATTORNEY ADDRESS1 | 200 W Adams Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2211 |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60606 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13123322550 |
| AGENT ATTORNEY EMAIL ADDRESS | gov@krilaw.com |
| LAWFIRM NAME BUSINESS NAME | Kriezelman Burton & Associates, LLC |
| STATE OF HIGHEST COURT | IL |
|
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3010 Grand Ave. |
| LCA CASE WORKLOC1 CITY | Waukegan |
| WORKSITE COUNTY | LAKE |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 60085 |
| LCA CASE WAGE RATE FROM | 6923.08 |
| LCA CASE WAGE RATE UNIT | Bi-Weekly |
| PREVAILING WAGE | 5915.2 |
| PW UNIT OF PAY | Bi-Weekly |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 8 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Kriezelman |
| PREPARER FIRST NAME | Matthew |
| PREPARER MIDDLE INITIAL | S |
| PREPARER BUSINESS NAME | Kriezelman Burton & Associates, LLC |
| PREPARER EMAIL | gov@krilaw.com |
