| LCA CASE NUMBER | I-200-18100-035760 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 4/12/18 |
| DECISION DATE | 4/18/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 4/30/18 |
| EMPLOYMENT END DATE | 4/30/21 |
| LCA CASE EMPLOYER NAME | DECATUR MEMORIAL HOSPITAL |
| EMPLOYER BUSINESS DBA | N/A |
| EMPLOYER ADDRESS | 2300 NORTH EDWARD STREET |
| EMPLOYER CITY | DECATUR |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 62526 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 2178768121 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | SOSTRIN, RITA |
| AGENT ATTORNEY CITY | WOODLAND HILLS |
| AGENT ATTORNEY STATE | CA |
| LCA CASE JOB TITLE | PULMONARY AND CRITICAL CARE PHYSICIAN |
| SOC CODE | 29-1069 |
| SOC NAME | PHYSICIANS AND SURGEONS, ALL OTHER |
| NAICS CODE | 622110 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMP | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 286,998.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level IV |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2018 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 400,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | SHELBYVILLE |
| WORKSITE COUNTY | SHELBY |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 62565 |
