| LCA CASE NUMBER | I-200-21197-466736 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-07-16 |
| DECISION DATE | 2021-07-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-20 |
| END DATE | 2024-09-19 |
| 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 | Shawnee Health Service & Development Corporation |
| EMPLOYER ADDRESS1 | 109 California Street |
| EMPLOYER ADDRESS2 | P.O. Box 577 |
| EMPLOYER CITY | Carterville |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 62918 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16189853151 |
| NAICS CODE | 621112 |
| EMPLOYER POC LAST NAME | Jensen |
| EMPLOYER POC FIRST NAME | Patsy |
| EMPLOYER POC JOB TITLE | Executive Director |
| EMPLOYER POC ADDRESS1 | 109 California Street |
| EMPLOYER POC ADDRESS2 | P.O. Box 577 |
| EMPLOYER POC CITY | Carterville |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 62918 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16189853151 |
| EMPLOYER POC EMAIL | ckorando@shsdc.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Sandler |
| AGENT ATTORNEY FIRST NAME | Bradley |
| AGENT ATTORNEY MIDDLE NAME | A |
| AGENT ATTORNEY ADDRESS1 | 7700 Forsyth |
| AGENT ATTORNEY ADDRESS2 | Suite 1100 |
| AGENT ATTORNEY CITY | St. Louis |
| AGENT ATTORNEY STATE | MO |
| AGENT ATTORNEY POSTAL CODE | 63105 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13147193006 |
| AGENT ATTORNEY EMAIL ADDRESS | brad.sandler@stinson.com |
|
| LAWFIRM NAME BUSINESS NAME | Stinson LLP |
| STATE OF HIGHEST COURT | MO |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3111 Williamson County Parkway |
| LCA CASE WORKLOC1 CITY | Marion |
| WORKSITE COUNTY | WILLIAMSON |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 62959 |
| LCA CASE WAGE RATE FROM | 170000 |
| LCA CASE WAGE RATE TO | 250000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 93746 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
