| LCA CASE NUMBER | I-200-21117-263855 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-27 |
| DECISION DATE | 2021-05-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Internal Medicine Physician |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-12 |
| END DATE | 2024-07-11 |
| 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 | Greater Elgin Family Care Center |
| EMPLOYER ADDRESS1 | 370 Summit St |
| EMPLOYER CITY | Elgin |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 60120 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18476086345 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Tanner |
| EMPLOYER POC FIRST NAME | Robert |
| EMPLOYER POC JOB TITLE | President/CEO |
| EMPLOYER POC ADDRESS 1 | 370 Summit Street |
| EMPLOYER POC CITY | Elgin |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 60120 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18476086068 |
| EMPLOYER POC EMAIL | btanner@GEFCC.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Webster |
| AGENT ATTORNEY FIRST NAME | Matthew |
| AGENT ATTORNEY MIDDLE NAME | P. |
| AGENT ATTORNEY ADDRESS1 | 200 South 6th Street |
| AGENT ATTORNEY ADDRESS2 | Suite 4000 |
| AGENT ATTORNEY CITY | Minneapolis |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55402 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16124927234 |
| AGENT ATTORNEY EMAIL ADDRESS | mwebster@fredlaw.com |
| LAWFIRM NAME BUSINESS NAME | Fredrikson & Byron PA |
| STATE OF HIGHEST COURT | MN |
|
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3901 Mercy Drive |
| LCA CASE WORKLOC1 CITY | McHenry |
| WORKSITE COUNTY | MCHENRY |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 60050 |
| LCA CASE WAGE RATE FROM | 182500 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 141253 |
| 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 Employment |
