| LCA CASE NUMBER | I-200-20013-249154 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-01-13 |
| DECISION DATE | 2020-01-20 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician (Pediatrics) |
| SOC CODE | 29-1065.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2020-01-24 |
| END DATE | 2022-04-14 |
| 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 | Ascension Medical Group ñ Southeast Wisconsin, Inc. |
| EMPLOYER ADDRESS1 | 400 W. River Woods Parkway |
| EMPLOYER CITY | Glendale |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 53212 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14144653797 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | O'CONNELL |
| EMPLOYER POC FIRST NAME | LESLEY |
| EMPLOYER POC JOB TITLE | DIRECTOR OF PROVIDER RECRUITMENT |
| EMPLOYER POC ADDRESS1 | 400 W. RIVER WOODS PARKWAY |
| EMPLOYER POC CITY | GLENDALE |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 53212 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14144653797 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | KIM |
| AGENT ATTORNEY FIRST NAME | MICHAEL |
| AGENT ATTORNEY MIDDLE NAME | LEE |
| AGENT ATTORNEY ADDRESS1 | 500 North Meridian Street |
| AGENT ATTORNEY ADDRESS2 | Suite 400 |
| AGENT ATTORNEY CITY | Indianapolis |
| AGENT ATTORNEY STATE | IN |
| AGENT ATTORNEY POSTAL CODE | 46204 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13179771418.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | HALL, RENDER, KILLIAN, HEATH & LYMAN, PC |
| STATE OF HIGHEST COURT | IN |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 3807 Spring Street |
| LCA CASE WORKLOC1 CITY | Racine |
| WORKSITE COUNTY | RACINE |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 53405 |
| LCA CASE WAGE RATE FROM | 115.38 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 55.35 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
