| LCA CASE NUMBER | I-200-20191-705957 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2020-07-09 |
| DECISION DATE | 2022-05-20 |
| ORIGINAL CERT DATE | 2020-07-16 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Medicine Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2020-07-29 |
| END DATE | 2023-07-28 |
| 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 | PrimeCare Community Health, Inc. |
| EMPLOYER ADDRESS1 | 2211 N Elston Ave |
| EMPLOYER ADDRESS2 | Suite 301 |
| EMPLOYER CITY | Chicago |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 60614 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13126335845 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Martorelli |
| EMPLOYER POC FIRST NAME | Nancy |
| EMPLOYER POC JOB TITLE | Director, Human Resources |
| EMPLOYER POC ADDRESS1 | 2211 N Elston Ave |
| EMPLOYER POC ADDRESS2 | Suite 301 |
| EMPLOYER POC CITY | Chicago |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 60614 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13126335845 |
| EMPLOYER POC EMAIL | Nancy.Martorelli@primecarechi.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Webster |
| AGENT ATTORNEY FIRST NAME | Matthew |
| AGENT ATTORNEY MIDDLE NAME | P. |
| AGENT ATTORNEY ADDRESS1 | 200 South 6th Street |
| AGENT ATTORNEY CITY | Minneapolis |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55402 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16124927234 |
| AGENT ATTORNEY EMAIL ADDRESS | mwebster@fredlaw.com |
| LAWFIRM NAME BUSINESS NAME | Fredrikson & Byron PA |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 5635 West Belmont Avenue |
| LCA CASE WORKLOC1 CITY | Chicago |
| WORKSITE COUNTY | COOK |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 60634 |
| LCA CASE WAGE RATE FROM | 160000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 153795 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |