| LCA CASE NUMBER | I-200-21161-387958 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-10 |
| DECISION DATE | 2021-06-17 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Medicine Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| 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 | The Methodist Hospitals, Inc. |
| EMPLOYER ADDRESS1 | 600 Grant Street |
| EMPLOYER CITY | Gary |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46402 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12198664000 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Doyle |
| EMPLOYER POC FIRST NAME | Matthew |
| EMPLOYER POC JOB TITLE | President and CEO |
| EMPLOYER POC ADDRESS 1 | 600 Grant Street |
| EMPLOYER POC CITY | Gary |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 46402 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12198664000 |
| EMPLOYER POC EMAIL | mdoyle@methodisthospitals.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Rifai |
| AGENT ATTORNEY FIRST NAME | Dana |
| AGENT ATTORNEY ADDRESS1 | 9191 Broadway |
| AGENT ATTORNEY CITY | Merrillville |
| AGENT ATTORNEY STATE | IN |
| AGENT ATTORNEY POSTAL CODE | 46410 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12197691313 |
| AGENT ATTORNEY PHONE EXT | 147 |
| AGENT ATTORNEY EMAIL ADDRESS | rifai@bcclegal.com |
| LAWFIRM NAME BUSINESS NAME | Burke Costanza & Carberry LLP |
| STATE OF HIGHEST COURT | IN |
| NAME OF HIGHEST STATE COURT | Supreme Court of Indiana |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 650 Grant Street |
| LCA CASE WORKLOC1 CITY | Gary |
| WORKSITE COUNTY | LAKE |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 46402 |
| LCA CASE WAGE RATE FROM | 230000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 102253 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 |
