| LCA CASE NUMBER | I-200-21236-541287 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-24 |
| DECISION DATE | 2021-08-31 |
| 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 | 2021-10-11 |
| END DATE | 2024-10-10 |
| 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 | ACCESS COMMUNITY HEALTH NETWORK |
| EMPLOYER ADDRESS1 | 600 W FULTON STREET |
| EMPLOYER ADDRESS2 | SUITE 200 |
| EMPLOYER CITY | CHICAGO |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 60661 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13125262078 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | LANDIVAR |
| EMPLOYER POC FIRST NAME | Javier |
| EMPLOYER POC MIDDLE NAME | D. |
| EMPLOYER POC JOB TITLE | VICE PRESIDENT OF BUSINESS DEVELOPMENT AND MEDICAL SERVICES |
| EMPLOYER POC ADDRESS1 | 600 W Fulton Street |
| EMPLOYER POC ADDRESS2 | Suite 200 |
| EMPLOYER POC CITY | CHICAGO |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 60606 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13125262110 |
| EMPLOYER POC EMAIL | JAVIER.LANDIVAR@ACHN.NET |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | PATEL |
| AGENT ATTORNEY FIRST NAME | KRUTI |
| AGENT ATTORNEY MIDDLE NAME | J |
| 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 PROVINCE | ILLINOIS |
|
| AGENT ATTORNEY PHONE | 13125660301 |
| AGENT ATTORNEY PHONE EXT | 25 |
| AGENT ATTORNEY EMAIL ADDRESS | kjp@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 | 2822 E. 83rd Street |
| LCA CASE WORKLOC1 CITY | Chicago |
| WORKSITE COUNTY | COOK |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 60617 |
| LCA CASE WAGE RATE FROM | 180000 |
| 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 |
