| LCA CASE NUMBER | I-200-19282-077253 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2019-10-08 |
| DECISION DATE | 2020-09-02 |
| ORIGINAL CERT DATE | 2019-10-16 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Nurse Practitioner |
| SOC CODE | 29-1171.00 |
| SOC TITLE | Nurse Practitioners |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-12-22 |
| END DATE | 2022-12-21 |
| 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 | Community Care Network |
| EMPLOYER ADDRESS1 | 4321 FIR STREET |
| EMPLOYER CITY | EAST CHICAGO |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46312 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12193927002 |
| NAICS CODE | 6216 |
| EMPLOYER POC LAST NAME | Najamuddin |
| EMPLOYER POC FIRST NAME | Ibrahim |
| EMPLOYER POC MIDDLE NAME | M |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 4321 Fir Street |
| EMPLOYER POC CITY | East Chicago |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 46312 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12197032585 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Badia Tavas |
| AGENT ATTORNEY FIRST NAME | M MERCEDES |
| AGENT ATTORNEY ADDRESS1 | One North Wacker Drive |
| AGENT ATTORNEY ADDRESS2 | Ste 4400 |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60606 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13123571313.0 |
| AGENT ATTORNEY PHONE EXT | 8313.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Barnes and Thornburg LLP |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | IL |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | Community Hospital |
| WORKSITE ADDRESS1 | 901 MacArthur Boulevard |
| LCA CASE WORKLOC1 CITY | Munster |
| WORKSITE COUNTY | LAKE |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 46321 |
| LCA CASE WAGE RATE FROM | 120000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 107162.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 5 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
