| LCA CASE NUMBER | I-200-21127-296650 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-07 |
| DECISION DATE | 2021-05-14 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PHYSICIAN, NEONATOLOGIST |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-06-01 |
| END DATE | 2024-05-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | ONSITE MEDICAL PROVIDERS, P.C. |
| EMPLOYER ADDRESS1 | 1000 Haddonfield-Berlin Road |
| EMPLOYER CITY | VOORHEES |
| EMPLOYER STATE | NJ |
| EMPLOYER POSTAL CODE | 8043 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18567822212 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | GRANT |
| EMPLOYER POC FIRST NAME | Pauline |
| EMPLOYER POC JOB TITLE | Human Resources Manager |
| EMPLOYER POC ADDRESS 1 | 1000 Haddonfield-Berlin Road |
| EMPLOYER POC CITY | Voorhees |
| EMPLOYER POC STATE | NJ |
| EMPLOYER POC POSTAL CODE | 08043 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18567822212 |
| EMPLOYER POC PHONE EXT | 285 |
| EMPLOYER POC EMAIL | pgrant@onsiteneonatal.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | WINTERSTEEN |
| AGENT ATTORNEY FIRST NAME | Charles |
| AGENT ATTORNEY MIDDLE NAME | H |
| AGENT ATTORNEY ADDRESS1 | 53 W. Jackson Blvd. |
| AGENT ATTORNEY ADDRESS2 | Suite 809 |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60604 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13125660301 |
| AGENT ATTORNEY PHONE EXT | 24 |
| AGENT ATTORNEY EMAIL ADDRESS | chw@charleswintersteen.com |
| LAWFIRM NAME BUSINESS NAME | Charles H. Wintersteen, P.C. |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | UnityPoint Health Methodist Hospital |
| WORKSITE ADDRESS1 | 221 E. Glen Oak Avenue |
| LCA CASE WORKLOC1 CITY | Peoria |
| WORKSITE COUNTY | PEORIA |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 61636 |
| LCA CASE WAGE RATE FROM | 100 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 100 |
| PW UNIT OF PAY | Hour |
| 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 |
