| CASE NUMBER | I-200-24060-760715 |
| CASE STATUS | Certified - Withdraw |
| RECEIVED DATE | 2/29/2024 |
| DECISION DATE | 7/10/2024 |
| ORIGINAL CERT DATE | 3/7/2024 |
| VISA CLASS | H-1B |
| JOB TITLE | Resident Physician PGY-8 (Urology/Reconstruction Fellow) |
| SOC CODE | 29-1229.00 |
| SOC TITLE | Physicians, All Other |
| FULL TIME POSITION | Y |
| BEGIN DATE | 7/1/2024 |
| END DATE | 6/30/2025 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| EMPLOYER NAME | University of Illinois at Chicago |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 1200 W Harrison St., 2160 SSB |
| EMPLOYER ADDRESS2 | OIS MC 326 |
| EMPLOYER CITY | Chicago |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 60607 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +13129963121 |
| EMPLOYER PHONE EXT | |
| 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 ADDRESS1 | 1200 W Harrison St., 2160 SSB |
| EMPLOYER POC ADDRESS2 | 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 PROVINCE | |
| EMPLOYER POC PHONE | +13129963121 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | hammerje@uic.edu |
| AGENT REPRESENTING EMPLOYER | No |
| AGENT ATTORNEY LAST NAME | |
| AGENT ATTORNEY FIRST NAME | |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | |
| AGENT ATTORNEY STATE | |
| AGENT ATTORNEY POSTAL CODE | |
| AGENT ATTORNEY COUNTRY | |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | |
| LAWFIRM NAME BUSINESS NAME | |
| STATE OF HIGHEST COURT | |
| NAME OF HIGHEST STATE COURT | |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | University of Illinois at Chicago |
| WORKSITE ADDRESS2 | Department of Urology, 820 S Wood St |
| WORKSITE CITY | Chicago |
| WORKSITE COUNTY | COOK |
| WORKSITE STATE | IL |
| WORKSITE POSTAL CODE | 60612 |
| WAGE RATE OF PAY FROM | 88,044.72 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $88,044.72 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | |
| PW OES YEAR | |
| PW OTHER SOURCE | CBA |
| PW OTHER YEAR | 2022 |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 4 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Patt |
| PREPARER FIRST NAME | Leslie |
| PREPARER MIDDLE INITIAL | K |
| PREPARER BUSINESS NAME | University of Illinois at Chicago |
| PREPARER EMAIL | lpatt04@uic.edu |
| BEGIN DATE CONVERTED | 2024-01-07 |
