| LCA CASE NUMBER | I-200-23005-683774 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-01-05 |
| DECISION DATE | 2023-01-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician (Family Medicine) |
| SOC CODE | 29-1215.00 |
| SOC TITLE | Family Medicine Physicians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-06-15 |
| END DATE | 2026-06-14 |
| 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 | Anderson Medical Group, LLC |
| EMPLOYER ADDRESS1 | 6800 State Route 162 |
| EMPLOYER CITY | Maryville |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 62062-8500 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16183916406 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Page |
| EMPLOYER POC FIRST NAME | Keith |
| EMPLOYER POC MIDDLE NAME | A. |
| EMPLOYER POC JOB TITLE | President & CEO |
| EMPLOYER POC ADDRESS1 | 6800 State Route 162 |
| EMPLOYER POC CITY | Maryville |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 62062-8500 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16183916406 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Khan |
| AGENT ATTORNEY FIRST NAME | Fatima |
| AGENT ATTORNEY MIDDLE NAME | G. |
| AGENT ATTORNEY ADDRESS1 | One U.S. Bank Plaza |
| AGENT ATTORNEY ADDRESS2 | Ste. 2700 |
| AGENT ATTORNEY CITY | St. Louis |
| AGENT ATTORNEY STATE | MO |
| AGENT ATTORNEY POSTAL CODE | 63101 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13145526000 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | THOMPSON COBURN LLP |
| STATE OF HIGHEST COURT | MO |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3417 Anderson Healthcare Drive |
| WORKSITE ADDRESS2 | Suite 200 |
| LCA CASE WORKLOC1 CITY | Edwardsville |
| WORKSITE COUNTY | MADISON |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 62025 |
| LCA CASE WAGE RATE FROM | 225306 |
| LCA CASE WAGE RATE TO | 260000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 225306 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
