| LCA CASE NUMBER | I-200-21230-530751 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-18 |
| DECISION DATE | 2021-08-25 |
| 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 | 2021-10-16 |
| END DATE | 2024-10-15 |
| 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 | Howard Brown Health Center |
| EMPLOYER ADDRESS1 | 4025 N. Sheridan Road |
| EMPLOYER CITY | Chicago |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 60613 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17713388160 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | Drumm |
| EMPLOYER POC FIRST NAME | Lawrence |
| EMPLOYER POC MIDDLE NAME | R. |
| EMPLOYER POC JOB TITLE | General Counsel |
| EMPLOYER POC ADDRESS1 | 4025 N. Sheridan Road |
| EMPLOYER POC CITY | Chicago |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 60613 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17733881600 |
| EMPLOYER POC EMAIL | larryd@howardbrown.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Jarecki |
| AGENT ATTORNEY FIRST NAME | Michael |
| AGENT ATTORNEY MIDDLE NAME | Robert |
| AGENT ATTORNEY ADDRESS1 | 53 W. Jackson Blvd. |
| AGENT ATTORNEY ADDRESS2 | Suite 1515 |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60604 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13129221111 |
| AGENT ATTORNEY PHONE EXT | 0 |
| AGENT ATTORNEY EMAIL ADDRESS | mike@jareckilaw.com |
| LAWFIRM NAME BUSINESS NAME | Jarecki Law Group, LLC |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Illinois Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 641 W. 63rd Street |
| LCA CASE WORKLOC1 CITY | Chicago |
| WORKSITE COUNTY | COOK |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 60621 |
| LCA CASE WAGE RATE FROM | 183100 |
| LCA CASE WAGE RATE TO | 231800 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 158954 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| 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 |
