| LCA CASE NUMBER | I-200-21126-293906 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-06 |
| DECISION DATE | 2021-05-13 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Physician |
| SOC CODE | 19-1042.00 |
| SOC TITLE | Medical Scientists, Except Epidemiologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-01 |
| END DATE | 2024-06-30 |
| 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 | DECATUR MEMORIAL HOSPITAL |
| EMPLOYER ADDRESS1 | 2300 NORTH EDWARD STREET |
| EMPLOYER CITY | DECATUR |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 62526 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12178768121 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Largent |
| EMPLOYER POC FIRST NAME | Morgan |
| EMPLOYER POC JOB TITLE | Director, Medical Staff Office |
| EMPLOYER POC ADDRESS 1 | 2300 North Edward Street |
| EMPLOYER POC CITY | Decatur |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 62526 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12178762115 |
| EMPLOYER POC EMAIL | largent.morgan@mhsil.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Sostrin |
| AGENT ATTORNEY FIRST NAME | Rita |
| AGENT ATTORNEY ADDRESS1 | 21700 Oxnard Street, Suite 860 |
| AGENT ATTORNEY CITY | Woodland Hills |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 91367 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18184353500 |
| AGENT ATTORNEY EMAIL ADDRESS | rsostrin@sostrin.com |
| LAWFIRM NAME BUSINESS NAME | Sostrin Immigration Lawyers, LLP |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | United States Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2300 North Edward Street |
| LCA CASE WORKLOC1 CITY | Decatur |
| WORKSITE COUNTY | MACON |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 62526 |
| LCA CASE WAGE RATE FROM | 240000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 88816 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| 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 |
