| LCA CASE NUMBER | I-200-20163-647081 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-06-11 |
| DECISION DATE | 2020-06-18 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician (Family Medicine) |
| 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 | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | CARLE HEALTH CARE, INC. |
| TRADE NAME DBA | CARLE PHYSICIAN GROUP |
| EMPLOYER ADDRESS1 | 611 W. PARK ST. |
| EMPLOYER CITY | URBANA |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 61801 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12173833285 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Holaday |
| EMPLOYER POC FIRST NAME | Patricia |
| EMPLOYER POC JOB TITLE | Vice President - System Provider Services |
| EMPLOYER POC ADDRESS1 | 611 W. Park Street |
| EMPLOYER POC CITY | Urbana |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 61801 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12173833285 |
| 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 N. 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 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 3024 E. Empire Street |
| LCA CASE WORKLOC1 CITY | Bloomington |
| WORKSITE COUNTY | MCLEAN |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 61704 |
| LCA CASE WAGE RATE FROM | 208000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000.0 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
