| LCA CASE NUMBER | I-200-20191-704911 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-07-09 |
| DECISION DATE | 2020-07-16 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Nephrologist |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2020-08-01 |
| END DATE | 2023-07-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Central Illinois Kidney & Dialysis Associates, P.C. |
| EMPLOYER ADDRESS1 | 3401 Conifer Drive |
| EMPLOYER CITY | Springfield |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 62711 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12177260967 |
| NAICS CODE | 621492 |
| EMPLOYER POC LAST NAME | Chen |
| EMPLOYER POC FIRST NAME | Xueguang |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 3401 Conifer Drive |
| EMPLOYER POC CITY | Springfield |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 62711 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12177260967 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Keeney |
| AGENT ATTORNEY FIRST NAME | Melanie |
| AGENT ATTORNEY ADDRESS1 | 34 N. Meramec Ave. |
| AGENT ATTORNEY ADDRESS2 | Suite 600 |
| AGENT ATTORNEY CITY | St. Louis |
| AGENT ATTORNEY STATE | MO |
| AGENT ATTORNEY POSTAL CODE | 63105 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13148803611.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Tueth Keeney Cooper Mohan & Jackstadt, P.C. |
| STATE OF HIGHEST COURT | MO |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 901 Spresser |
| LCA CASE WORKLOC1 CITY | Taylorville |
| WORKSITE COUNTY | CHRISTIAN |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 62568 |
| LCA CASE WAGE RATE FROM | 150.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 100.0 |
| PW UNIT OF PAY | Hour |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 6 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Schaefer |
| PREPARER FIRST NAME | Patricia |
| PREPARER BUSINESS NAME | Tueth Keeney Cooper Mohan & Jackstadt, P.C. |
| PREPARER EMAIL | [email protected] |
