| LCA CASE NUMBER | I-200-22271-497962 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-09-27 |
| DECISION DATE | 2022-10-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Assistant Professor of Clinical Family & Community Medicine |
| SOC CODE | 25-1071.00 |
| SOC TITLE | Health Specialties Teachers, Postsecondary |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-10-14 |
| END DATE | 2025-10-13 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Southern Illinois University School of Medicine |
| EMPLOYER ADDRESS1 | 801 North Rutledge Street |
| EMPLOYER CITY | Springfield |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 62702 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12175452773 |
| NAICS CODE | 611310 |
| EMPLOYER POC LAST NAME | Horvat |
| EMPLOYER POC FIRST NAME | John |
| EMPLOYER POC MIDDLE NAME | F |
| EMPLOYER POC JOB TITLE | Associate Provost for Finance and Administration |
| EMPLOYER POC ADDRESS1 | 801 North Rutledge Street |
| EMPLOYER POC ADDRESS2 | Suite 2388 |
| EMPLOYER POC CITY | Springfield |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 62702 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12175452773 |
| EMPLOYER POC EMAIL | Jhorvat52@siumed.edu |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Keeney |
| AGENT ATTORNEY FIRST NAME | Melanie |
| AGENT ATTORNEY MIDDLE NAME | Gurley |
| AGENT ATTORNEY ADDRESS1 | 34 N Meramec Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 600 |
| AGENT ATTORNEY CITY | St. Louis |
| AGENT ATTORNEY STATE | MO |
| AGENT ATTORNEY POSTAL CODE | 63105 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13148803611 |
| AGENT ATTORNEY EMAIL ADDRESS | mkeeney@tuethkeeney.com |
| LAWFIRM NAME BUSINESS NAME | Tueth Keeney Cooper Mohan & Jackstadt, PC |
| STATE OF HIGHEST COURT | MO |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | Timberlake Supporting Living |
| WORKSITE ADDRESS2 | 2521 Empowerment Rd. |
| LCA CASE WORKLOC1 CITY | Springfield |
| WORKSITE COUNTY | SANGAMON |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 62703 |
| LCA CASE WAGE RATE FROM | 230008 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 85303 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 4 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Garcia |
| PREPARER FIRST NAME | Rachel |
| PREPARER MIDDLE INITIAL | R. |
| PREPARER BUSINESS NAME | Tueth, Keeney, Cooper, Mohan & Jackstadt PC |
| PREPARER EMAIL | rgarcia@tuethkeeney.com |
