| LCA CASE NUMBER | I-200-21133-312713 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-13 |
| DECISION DATE | 2021-05-20 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Health System Clinician/Dermatologist |
| SOC CODE | 29-1069.02 |
| SOC TITLE | Dermatologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-01 |
| END DATE | 2024-06-30 |
| 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 | Northwestern Medical Faculty Foundation |
| TRADE NAME DBA | d/b/a Northwestern Medical Group |
| EMPLOYER ADDRESS1 | 211 E. Ontario Street |
| EMPLOYER ADDRESS2 | Suite 1800 |
| EMPLOYER CITY | Chicago |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 60611 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13126959400 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Prousis |
| EMPLOYER POC FIRST NAME | Danae |
| EMPLOYER POC MIDDLE NAME | K. |
| EMPLOYER POC JOB TITLE | Secretary |
| EMPLOYER POC ADDRESS 1 | 211 E. Ontario Street |
| EMPLOYER POC ADDRESS 2 | Suite 1800 |
| EMPLOYER POC CITY | Chicago |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 60611 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13126956609 |
| EMPLOYER POC EMAIL | dprousis@nm.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Payne |
| AGENT ATTORNEY FIRST NAME | Timothy |
| AGENT ATTORNEY MIDDLE NAME | G. |
| AGENT ATTORNEY ADDRESS1 | 1 South Dearborn Street |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60603 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | Cook |
| AGENT ATTORNEY PHONE | 13128537000 |
| AGENT ATTORNEY EMAIL ADDRESS | nbiengordy@sidley.com |
| LAWFIRM NAME BUSINESS NAME | Sidley Austin LLP |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Supreme Court of Illinois |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 800 North Westmoreland |
| WORKSITE ADDRESS2 | Suite 201 |
| LCA CASE WORKLOC1 CITY | Lake Forest |
| WORKSITE COUNTY | LAKE |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 60045 |
| LCA CASE WAGE RATE FROM | 400000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 235019 |
| 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 |
| PREPARER LAST NAME | Bien-Gordy |
| PREPARER FIRST NAME | Natalia |
| PREPARER MIDDLE INITIAL | A. |
| PREPARER BUSINESS NAME | Sidley Austin LLP |
| PREPARER EMAIL | nbiengordy@sidley.com |
