| LCA CASE NUMBER | I-200-21166-400542 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-15 |
| DECISION DATE | 2021-06-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Resident Physician PGY-1 (Family Medicine) |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-07 |
| END DATE | 2024-07-06 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | University of Illinois at Chicago |
| EMPLOYER ADDRESS1 | 1200 W. Harrison Street, 2160 SSB |
| EMPLOYER ADDRESS2 | OIS MC 326 |
| EMPLOYER CITY | Chicago |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 60607 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13129963121 |
| NAICS CODE | 611310 |
| EMPLOYER POC LAST NAME | Hammerschmidt |
| EMPLOYER POC FIRST NAME | James |
| EMPLOYER POC MIDDLE NAME | E. |
| EMPLOYER POC JOB TITLE | Executive Director, Office of International Services |
| EMPLOYER POC ADDRESS 1 | 1200 W. Harrison Street, 2160 SSB |
| EMPLOYER POC ADDRESS 2 | OIS MC 326 |
| EMPLOYER POC CITY | Chicago |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 60607 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13129963121 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | University of Illinois at Chicago |
| WORKSITE ADDRESS2 | Department of Family Medicine, 1919 W. Taylor Street |
| LCA CASE WORKLOC1 CITY | Chicago |
| WORKSITE COUNTY | COOK |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 60612 |
| LCA CASE WAGE RATE FROM | 59890 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 58026 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2020 |
| PW SURVEY PUBLISHER | Association of American Medical Colleges |
| PW SURVEY NAME | Survey of Resident/Fellow Stipends and Benefits |
| TOTAL WORKSITE LOCATIONS | 6 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Allen |
| PREPARER FIRST NAME | Michael |
| PREPARER MIDDLE INITIAL | R. |
| PREPARER BUSINESS NAME | University of Illinois at Chicago |
| PREPARER EMAIL | [email protected] |
