| LCA CASE NUMBER | I-200-20106-490136 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2020-04-15 |
| DECISION DATE | 2020-04-22 |
| ORIGINAL CERT DATE | 2020-04-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician, Family Medicine Resident |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-01 |
| END DATE | 2023-06-30 |
| TOTAL WORKER POSITIONS | 3 |
| NEW EMPLOYMENT | 3 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Rockford Health Physicians |
| TRADE NAME DBA | Mercyhealth Physicians |
| EMPLOYER ADDRESS1 | 2300 N. Rockton Avenue |
| EMPLOYER CITY | Rockford |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 61103 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16083142468 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Bradshaw |
| EMPLOYER POC FIRST NAME | Amy |
| EMPLOYER POC JOB TITLE | Assistant General Counsel |
| EMPLOYER POC ADDRESS1 | 1000 Mineral Point Avenue |
| EMPLOYER POC CITY | Janesville |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 53548 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16083142468 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | PATEL |
| AGENT ATTORNEY FIRST NAME | KRUTI |
| AGENT ATTORNEY MIDDLE NAME | J |
| AGENT ATTORNEY ADDRESS1 | 53 W. Jackson Blvd. |
| AGENT ATTORNEY ADDRESS2 | Suite 809 |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60604 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | ILLINOIS |
| AGENT ATTORNEY PHONE | 13125660301.0 |
| AGENT ATTORNEY PHONE EXT | 25.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Charles Wintersteen, P.C. |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 3 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | Javon Bea Hospital --Riverside Boulevard |
| WORKSITE ADDRESS1 | 8201 E. Riverside Blvd |
| LCA CASE WORKLOC1 CITY | Rockford |
| WORKSITE COUNTY | WINNEBAGO |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 61114 |
| LCA CASE WAGE RATE FROM | 60000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 56475.0 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2019.0 |
| PW SURVEY PUBLISHER | The Association of American Medical Colleges (AAMC) |
| PW SURVEY NAME | Survey of Resident/Fellow Stipends&Benefits Rprt (2019-2020) |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
