| LCA CASE NUMBER | I-200-21273-615893 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-30 |
| DECISION DATE | 2021-10-07 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Anesthesiologist |
| SOC CODE | 29-1061.00 |
| SOC TITLE | Anesthesiologists |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-11-01 |
| END DATE | 2024-10-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | American Anesthesiology Associates of Illinois, S.C. |
| EMPLOYER ADDRESS1 | 68 South Service Road |
| EMPLOYER ADDRESS2 | Suite 350 |
| EMPLOYER CITY | Melville |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 11747 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15169453348 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Blumberg |
| EMPLOYER POC FIRST NAME | Sheryl |
| EMPLOYER POC JOB TITLE | Vice President of Human Resources Service Delivery |
| EMPLOYER POC ADDRESS1 | 68 South Service Road |
| EMPLOYER POC ADDRESS2 | Suite 350 |
| EMPLOYER POC CITY | Melville |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 11747 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15169453348 |
| EMPLOYER POC EMAIL | SBlumberg@napaanesthesia.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Ombok |
| AGENT ATTORNEY FIRST NAME | Otieno |
| AGENT ATTORNEY MIDDLE NAME | B |
| AGENT ATTORNEY ADDRESS1 | 44 South Broadway |
| AGENT ATTORNEY ADDRESS2 | 14th Floor |
| AGENT ATTORNEY CITY | White Plains |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10601 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19148726895 |
| AGENT ATTORNEY EMAIL ADDRESS | otieno.ombok@jacksonlewis.com |
|
| LAWFIRM NAME BUSINESS NAME | Jackson Lewis, P.C. |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Advocate Aurora Trinity |
| WORKSITE ADDRESS1 | 2320 E 93rd St. |
| LCA CASE WORKLOC1 CITY | Chicago |
| WORKSITE COUNTY | COOK |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 60617 |
| LCA CASE WAGE RATE FROM | 100 |
| LCA CASE WAGE RATE TO | 250 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 100 |
| PW UNIT OF PAY | Hour |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER BUSINESS NAME | Jackson Lewis, P.C. |
| PREPARER EMAIL | otieno.ombok@jacksonlewis.com |
