| LCA CASE NUMBER | I-200-20350-960353 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-12-15 |
| DECISION DATE | 2020-12-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Medicine Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-01-15 |
| END DATE | 2024-01-14 |
| 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 | SwedishAmerican/A Division of UW Health |
| TRADE NAME DBA | SwedishAmerican Hospital |
| EMPLOYER ADDRESS1 | 1401 East State Street |
| EMPLOYER CITY | Rockford |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 61104 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17796967070 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Marquez |
| EMPLOYER POC FIRST NAME | Jessica |
| EMPLOYER POC JOB TITLE | Supervisor, Physician Resource Center |
| EMPLOYER POC ADDRESS 1 | 2550 Charles Street |
| EMPLOYER POC CITY | Rockford |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 61108 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17796967073 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| 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 |
| AGENT ATTORNEY PHONE EXT | 25 |
| 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 | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1625 S State Street |
| LCA CASE WORKLOC1 CITY | Belvidere |
| WORKSITE COUNTY | BOONE |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 61008 |
| LCA CASE WAGE RATE FROM | 240000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
