| LCA CASE NUMBER | I-200-23202-206842 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-07-21 |
| DECISION DATE | 2023-07-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1229.00 |
| SOC TITLE | Physicians, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-11-01 |
| END DATE | 2026-10-31 |
| 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 | Northwestern Medical Center |
| EMPLOYER ADDRESS1 | 133 Fairfield Street St. |
| EMPLOYER CITY | Saint Albans |
| EMPLOYER STATE | VT |
| EMPLOYER POSTAL CODE | 05478 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18025245911 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Breault |
| EMPLOYER POC FIRST NAME | Stephanie |
| EMPLOYER POC JOB TITLE | Chief Financial Officer |
| EMPLOYER POC ADDRESS1 | 133 Fairfield Street |
| EMPLOYER POC CITY | Saint Albans |
| EMPLOYER POC STATE | VT |
| EMPLOYER POC POSTAL CODE | 05478 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18025248823 |
| EMPLOYER POC EMAIL | sbreault@nmcinc.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Castrodale |
| AGENT ATTORNEY FIRST NAME | Alex |
| AGENT ATTORNEY MIDDLE NAME | R. |
| AGENT ATTORNEY ADDRESS1 | 625 Liberty Ave |
| AGENT ATTORNEY ADDRESS2 | Floor 5 |
| AGENT ATTORNEY CITY | Pittsburgh |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 15222 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14122974900 |
| AGENT ATTORNEY EMAIL ADDRESS | alex.castrodale@dentons.com |
| LAWFIRM NAME BUSINESS NAME | Dentons Cohen & Grigsby, P.C. |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Supreme Court of Pennsylvania |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 133 Fairfield Street St. |
| LCA CASE WORKLOC1 CITY | St. Albans |
| WORKSITE COUNTY | FRANKLIN |
| LCA CASE WORKLOC1 STATE | VT |
| WORKSITE POSTAL CODE | 05478 |
| LCA CASE WAGE RATE FROM | 200000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 92082 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Sutton |
| PREPARER FIRST NAME | Mary |
| PREPARER BUSINESS NAME | Dentons Cohen and Grigsby PC |
| PREPARER EMAIL | mary.sutton@dentons.com |
