| LCA CASE NUMBER | I-200-19325-160675 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-11-21 |
| DECISION DATE | 2019-11-29 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Emergency Medicine Physician |
| SOC CODE | 29-1069.03 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2019-12-01 |
| END DATE | 2022-11-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Integritas Emergency Providers, LLC |
| EMPLOYER ADDRESS1 | 2250 North Illinois Avenue |
| EMPLOYER CITY | Carbondale |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 62901 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +16188331691 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Norbut |
| EMPLOYER POC FIRST NAME | Bryan |
| EMPLOYER POC JOB TITLE | Associate Legal Counsel |
| EMPLOYER POC ADDRESS1 | 2250 North Illinois Avenue |
| EMPLOYER POC CITY | Carbondale |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 62901 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +16188331691 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Duong |
| AGENT ATTORNEY FIRST NAME | Hon-Vinh |
| AGENT ATTORNEY MIDDLE NAME | Quang |
| AGENT ATTORNEY ADDRESS1 | 511 Union Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2700 |
| AGENT ATTORNEY CITY | Nashville |
| AGENT ATTORNEY STATE | TN |
| AGENT ATTORNEY POSTAL CODE | 37219 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16158508936.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Waller Lansden Dortch & Davis, LLP |
| STATE OF HIGHEST COURT | TN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | Marshall Browning Hospital |
| WORKSITE ADDRESS1 | 900 Washington Street North |
| LCA CASE WORKLOC1 CITY | DuQuoin |
| WORKSITE COUNTY | PERRY |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 62832 |
| LCA CASE WAGE RATE FROM | 100.0 |
| LCA CASE WAGE RATE TO | 165.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 100.0 |
| PW UNIT OF PAY | Hour |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 3.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Burk (97612) |
| PREPARER FIRST NAME | Kelsey |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Waller Lansden Dortch & Davis LLP |
| PREPARER EMAIL | [email protected] |
