| CASE NUMBER | I-200-25015-621449 |
| CASE STATUS | Certified |
| RECEIVED DATE | 1/15/2025 |
| DECISION DATE | 1/23/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | INTENSIVE CARE UNIT NURSE SPECIALIST |
| SOC CODE | 29-1141.03 |
| SOC TITLE | Critical Care Nurses |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/23/2025 |
| END DATE | 1/22/2028 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | WEST SUBURBAN MEDICAL CENTER |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 3 ERIE COURT |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | OAK PARK |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 60302 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 17083836200 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | SAVIOZZI |
| EMPLOYER POC FIRST NAME | ANDREA M |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | EXECUTIVE DIRECTOR, NURSING SERVICES |
| EMPLOYER POC ADDRESS1 | 3 ERIE COURT |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | OAK PARK |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 60302 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 17083836200 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | ASAVIOZZ@WESTSUBMC.COM |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | ALLEN |
| AGENT ATTORNEY FIRST NAME | THOMAS |
| AGENT ATTORNEY MIDDLE NAME | V. |
| AGENT ATTORNEY ADDRESS1 | 50 CRAGWOOD ROAD |
| AGENT ATTORNEY ADDRESS2 | SUITE 100 |
| AGENT ATTORNEY CITY | SOUTH PLAINFIELD |
| AGENT ATTORNEY STATE | NJ |
| AGENT ATTORNEY POSTAL CODE | 7080 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 17328327978 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | ICERT@THOMASVALLEN.COM |
| LAWFIRM NAME BUSINESS NAME | LAW OFFICE OF THOMAS V. ALLEN PLLC. |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | APPELLATE COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 3 ERIE COURT |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | OAK PARK |
| WORKSITE COUNTY | COOK |
| WORKSITE STATE | IL |
| WORKSITE POSTAL CODE | 60302 |
| WAGE RATE OF PAY FROM | $40.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $38.93 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| 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 | 2025-01-23 |
