| LCA CASE NUMBER | I-200-21203-477615 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-07-22 |
| DECISION DATE | 2021-07-29 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatrician |
| SOC CODE | 29-1065.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-12-10 |
| END DATE | 2024-12-09 |
| 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 | Omni Health, P.C. |
| TRADE NAME DBA | Lincoln Square Medical Center and Lincolnwood Medical Center |
| EMPLOYER ADDRESS1 | 2515 W. Lawrence Avenue |
| EMPLOYER CITY | Chicago |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 60625 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17734692336 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | SIDDIQUI |
| EMPLOYER POC FIRST NAME | Zaki |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 2515 W. Lawrence Avenue |
| EMPLOYER POC CITY | Chicago |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 60625 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17734692336 |
| EMPLOYER POC EMAIL | zsiddiqui@omnihealthclinics.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 | False |
| WORKSITE ADDRESS1 | 2515 W. Lawrence Avenue |
| LCA CASE WORKLOC1 CITY | Chicago |
| WORKSITE COUNTY | COOK |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 60625 |
| LCA CASE WAGE RATE FROM | 130000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 106642 |
| 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 |