| LCA CASE NUMBER | I-200-21103-219273 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-04-13 |
| DECISION DATE | 2021-05-20 |
| ORIGINAL CERT DATE | 2021-04-20 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1064.00 |
| SOC TITLE | Obstetricians and Gynecologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-02 |
| END DATE | 2024-08-01 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Franciscan Alliance |
| TRADE NAME DBA | Franciscan Physician Network (FPN) |
| EMPLOYER ADDRESS1 | 1515 Dragoon Trail |
| EMPLOYER CITY | Mishawaka |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46544 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13175285700 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Foreit |
| EMPLOYER POC FIRST NAME | Claude |
| EMPLOYER POC JOB TITLE | DO, MHA, Corporate VP |
| EMPLOYER POC ADDRESS 1 | 1040 SIERRA DRIVE |
| EMPLOYER POC ADDRESS 2 | SUITE 1200 |
| EMPLOYER POC CITY | Greenwood |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 46143 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13175287036 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Jacobson |
| AGENT ATTORNEY FIRST NAME | P. Michelle |
| AGENT ATTORNEY ADDRESS1 | 333 W Wacker Drive |
| AGENT ATTORNEY ADDRESS2 | 15th Floor |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60606 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13122636101 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
|
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Loewy, LLP |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Illinois Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3500 Franciscan Way |
| WORKSITE ADDRESS2 | 3rd Floor |
| LCA CASE WORKLOC1 CITY | Michigan City |
| WORKSITE COUNTY | LA PORTE |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 46360 |
| LCA CASE WAGE RATE FROM | 325000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 277763 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| 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 |