| CASE NUMBER | I-200-24162-092910 |
| CASE STATUS | Certified |
| RECEIVED DATE | 6/10/2024 |
| DECISION DATE | 6/17/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Family Physician |
| SOC CODE | 29-1215.00 |
| SOC TITLE | Family Medicine Physicians |
| FULL TIME POSITION | Y |
| BEGIN DATE | 7/22/2024 |
| END DATE | 7/21/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Quincy Physicians & Surgeons Clinic, PLLC |
| TRADE NAME DBA | Quincy Medical Group |
| EMPLOYER ADDRESS1 | 1025 Maine Street |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Quincy |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 62301 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 12177226550 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Martin |
| EMPLOYER POC FIRST NAME | Kate |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Director, Projects & Initiatives |
| EMPLOYER POC ADDRESS1 | 1025 Maine Street |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Quincy |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 62301 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 12177226550 |
| EMPLOYER POC PHONE EXT | 6733 |
| EMPLOYER POC EMAIL | kmartin@quincymedgroup.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Najfabadi |
| AGENT ATTORNEY FIRST NAME | Elahe |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 2121 Avenue of the Stars |
| AGENT ATTORNEY ADDRESS2 | Suite 800 |
| AGENT ATTORNEY CITY | Los Angeles |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90067 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 13102846898 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | ellie@enajfabadi.com |
| LAWFIRM NAME BUSINESS NAME | Law Offices of Elahe Najfabadi |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | California Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 320 North Madison Street |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Pittsfield |
| WORKSITE COUNTY | ADAMS |
| WORKSITE STATE | IL |
| WORKSITE POSTAL CODE | 62363 |
| WAGE RATE OF PAY FROM | 240000 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $239,200.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | N/A |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 1 |
| 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 | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2025-10-07 |
