| LCA CASE NUMBER | I-200-21294-660338 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-21 |
| DECISION DATE | 2021-10-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1061.00 |
| SOC TITLE | Anesthesiologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-02-18 |
| END DATE | 2025-02-17 |
| 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 | Mobile Anesthesiologists, LLC |
| EMPLOYER ADDRESS1 | 8420 W Bryn Mawr Ave |
| EMPLOYER CITY | Chicago |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 60631 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17737565760 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Gantz |
| EMPLOYER POC FIRST NAME | Josh |
| EMPLOYER POC JOB TITLE | Administrator |
| EMPLOYER POC ADDRESS1 | 8420 W Bryn Mawr Ave |
| EMPLOYER POC CITY | Chicago |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 60631 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17607605760 |
| EMPLOYER POC PHONE EXT | 5760 |
| EMPLOYER POC EMAIL | jgantz@ams-md.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Siebert |
| AGENT ATTORNEY FIRST NAME | William |
| AGENT ATTORNEY MIDDLE NAME | Newell |
| AGENT ATTORNEY ADDRESS1 | 307 N Michigan Ave |
| AGENT ATTORNEY ADDRESS2 | Suite 924 |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60601 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13123290646 |
| AGENT ATTORNEY EMAIL ADDRESS | wns@siebert-immigrationlaw.com |
| LAWFIRM NAME BUSINESS NAME | William Newell Siebert, PC |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | IL |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 8420 W Bryn Mawr Ave |
| LCA CASE WORKLOC1 CITY | Chicago |
| WORKSITE COUNTY | COOK |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 60631 |
| LCA CASE WAGE RATE FROM | 208000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 6 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Siebert |
| PREPARER FIRST NAME | William |
| PREPARER MIDDLE INITIAL | N |
| PREPARER BUSINESS NAME | William Newell Siebert, PC |
| PREPARER EMAIL | wns@siebert-immigrationlaw.com |
