| LCA CASE NUMBER | I-200-16132-150594 |
| STATUS | CERTIFIED-WITHDRAWN |
| LCA CASE SUBMIT | 5/11/2016 |
| DECISION DATE | 5/22/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 7/1/2016 |
| EMPLOYMENT END DATE | 6/30/2019 |
| LCA CASE EMPLOYER NAME | DATTA SAMBARE, MD, SC |
| EMPLOYER BUSINESS DBA | MADISON PARKSIDE MEDICAL CENTER |
| EMPLOYER ADDRESS | 8448 S. PARK AVENUE |
| EMPLOYER CITY | BURR RIDGE |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 60527 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | N/A |
| EMPLOYER PHONE | 7733792304 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | MENON, PIA |
| AGENT ATTORNEY CITY | CHICAGO |
| AGENT ATTORNEY STATE | IL |
| LCA CASE JOB TITLE | PRIMARY CARE PHYSICIAN |
| SOC CODE | 29-1062 |
| SOC NAME | FAMILY AND GENERAL PRACTITIONERS |
| NAICS CODE | 62111 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 100,755.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level II |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 160,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | CHICAGO |
| WORKSITE COUNTY | COOK |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 60644 |
| ORIGINAL CERT DATE | 5/17/2016 |
