| LCA CASE NUMBER | I-200-22026-855482 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2022-01-26 |
| DECISION DATE | 2022-11-22 |
| ORIGINAL CERT DATE | 2022-02-02 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Internal Medicine Physician |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-07-01 |
| END DATE | 2025-06-30 |
| 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 | Prairie Ridge Health, Inc. |
| EMPLOYER ADDRESS1 | 1515 Park Avenue |
| EMPLOYER CITY | Columbus |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 53925 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19206232200 |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | Roundy |
| EMPLOYER POC FIRST NAME | Ann |
| EMPLOYER POC MIDDLE NAME | M. |
| EMPLOYER POC JOB TITLE | Vice President - Employee Services |
| EMPLOYER POC ADDRESS1 | 1515 Park Avenue |
| EMPLOYER POC CITY | Columbus |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 53925 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19206231279 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Kallmeyer |
| AGENT ATTORNEY FIRST NAME | Maria |
| AGENT ATTORNEY ADDRESS1 | 411 East Wisconsin Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 2400 |
| AGENT ATTORNEY CITY | Milwaukee |
| AGENT ATTORNEY STATE | WI |
| AGENT ATTORNEY POSTAL CODE | 53202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13127155009 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Quarles & Brady LLP |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1515 Park Avenue |
| LCA CASE WORKLOC1 CITY | Columbus |
| WORKSITE COUNTY | COLUMBIA |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 53925 |
| LCA CASE WAGE RATE FROM | 225000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 189051 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
