| LCA CASE NUMBER | I-200-21161-384948 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-09 |
| DECISION DATE | 2021-06-16 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician (Interventional Pain Management) |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-13 |
| END DATE | 2024-08-12 |
| 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 | Millennium Pain Center, LLC |
| EMPLOYER ADDRESS1 | 2406 East Empire Street |
| EMPLOYER CITY | Bloomington |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 61704 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13019455111 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Lar |
| EMPLOYER POC FIRST NAME | Yalonda |
| EMPLOYER POC JOB TITLE | Legal |
| EMPLOYER POC ADDRESS 1 | 11921 Rockville Pike |
| EMPLOYER POC ADDRESS 2 | Suite 500 |
| EMPLOYER POC CITY | Rockville |
| EMPLOYER POC STATE | MD |
| EMPLOYER POC POSTAL CODE | 20852 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13019455111 |
| EMPLOYER POC EMAIL | ylar@treatingpain.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Ramsey |
| AGENT ATTORNEY FIRST NAME | Lindsay |
| AGENT ATTORNEY MIDDLE NAME | Carlberg |
| AGENT ATTORNEY ADDRESS1 | 500 N. Meridian Street, Suite 400 |
| AGENT ATTORNEY CITY | Indianapolis |
| AGENT ATTORNEY STATE | IN |
| AGENT ATTORNEY POSTAL CODE | 46204 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13174293637 |
| AGENT ATTORNEY EMAIL ADDRESS | lramsey@hallrender.com |
| LAWFIRM NAME BUSINESS NAME | Hall Render Killian Heath & Lyman, P.C. |
| STATE OF HIGHEST COURT | IN |
|
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 304 West Hay |
| LCA CASE WORKLOC1 CITY | Decatur |
| WORKSITE COUNTY | MACON |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 62526 |
| LCA CASE WAGE RATE FROM | 361000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| 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 |
