| LCA CASE NUMBER | I-200-21257-582528 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-14 |
| DECISION DATE | 2021-09-21 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dental Director |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-01 |
| END DATE | 2024-09-30 |
| 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 | Irving Park Family Dentist |
| EMPLOYER ADDRESS1 | 3435 W. Irving Park Road |
| EMPLOYER CITY | Chicago |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 60618 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17735888200 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Bueno |
| EMPLOYER POC FIRST NAME | Ivana |
| EMPLOYER POC JOB TITLE | Director |
| EMPLOYER POC ADDRESS1 | 3435 W. Irving Park Road |
| EMPLOYER POC CITY | Chicago |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 60618 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17735888200 |
| EMPLOYER POC EMAIL | ivana@dental360grp.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Kempster |
| AGENT ATTORNEY FIRST NAME | Alec |
| AGENT ATTORNEY ADDRESS1 | 332 South Michigan Ave |
| AGENT ATTORNEY ADDRESS2 | Suite 1428 |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60604 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13123419730 |
| AGENT ATTORNEY EMAIL ADDRESS | aleck@klc-ltd.com |
| LAWFIRM NAME BUSINESS NAME | Kempster, Corcoran, Quiceno, & Lenz-Calvo, LTD |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Illinois Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3435 W. Irving Park Road |
| LCA CASE WORKLOC1 CITY | Chicago |
| WORKSITE COUNTY | COOK |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 60618 |
| LCA CASE WAGE RATE FROM | 111155 |
| LCA CASE WAGE RATE TO | 215000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 111155 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 5 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
