Fiscal Year

2017

Case Number

A-17089-18930

Case Status

Certified

Received Date

2017-04-06

Decision Date

2017-06-30

Refile

N

Original File Date

2017-01-01 05:10:58

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

GOOD SAMARITAN REGIONAL HEALTH CENTER

Employer Name Slug

good-samaritan-regional-health-center

Employer Address 1

1 GOOD SAMARITAN WAY

Employer Address 2

Employer City

MOUNT VERNON

Employer City Slug

mount-vernon

Employer State

IL

Employer State Slug

il

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

62864

Employer Phone

618-242-4600

Employer Number of Employees

1079

Employer Year Commenced Business

1871

NAICS Code

FW Ownership Interest

N

Employer Contact Name

Employer Contact Address 1

Employer Contact Address 2

Employer Contact City

Employer Contact State/Province

Employer Contact Country

Employer Contact Postal Code

Employer Contact Phone

Employer Contact Email

Agent Attorney Name

Agent Attorney Firm Name

Siskind Susser, PC

Agent Attorney Phone

Agent Attorney Address 1

Agent Attorney Address 2

Agent Attorney City

Memphis

Agent Attorney State/Province

TN

Agent Attorney Country

Agent Attorney Postal Code

Agent Attorney Email

PW Track Number

P10017012383584

PW SOC Code

29-1063

PW SOC Title

Internists, General

PW Skill Level

Level I

PW Wage

137.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2017-03-30

PW Expiration Date

2017-06-30

Wage Offer From

280.00

Wage Offer To

0.00

Average Salary

280.00

Wage Unit of Pay

Year

Worksite Address 1

Worksite Address 2

Worksite City

Mt Vernon

Worksite City Slug

mt-vernon

Worksite State

IL

Worksite Postal Code

62864

Job Title

Hospitalist Physician

Job Title Slug

hospitalist-physician

Minimum Education

Other

Major Field of Study

Medicine

Required Training

Y

Required Experience

Required Experience Months

Accept Alternative Field of Study

N

Accept Alternative Major Field of Study

Accept Alternative Combination

Accept Alternative Combination Education

N

Accept Alternative Combination Education Years

Accept Foreign Education

Y

Accept Alternative Occupation

Accept Alternative Occupation Months

Accept Alternative Job Title

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

Combination Occupation

N

Offered to Applicant Foreign Worker

Y

Foreign Worker Live on Premises

N

Foreign Worker Live in Domestic Service

N

Foreign Worker Live in Domestic Service Count

Professional Occupation

Y

Application for College/University Teacher

N

SWA Job Order Start Date

2017-01-20

SWA Job Order End Date

2017-02-24

Sunday Edition Newspaper

Y

First Newspaper Name

Southern Illinoisan

First Advertisement Start Date

2017-01-15

Second Newspaper Ad Name

Southern Illinoisan

Second Advertisement Type

Y

Second Ad Start Date

2017-01-22

Employer Website From Date

2017-01-01 05:10:58

Employer Website To Date

2017-01-01 05:10:58

Professional Organization Ad From Date

2017-02-07

Professional Organization Advertisement To Date

2017-02-14

Job Search Website From Date

2017-01-12

Job Search Website To Date

2017-02-10

Employee Referral Program From Date

2017-01-01 05:10:58

Employee Referral Program To Date

2017-01-01 05:10:58

Local Ethnic Paper From Date

2017-01-01 05:10:58

Local Ethnic Paper To Date

2017-01-01 05:10:58

Radio/TV Ad From Date

2017-01-01 05:10:58

Radio/TV Ad To Date

2017-01-01 05:10:58

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

NIGERIA

Foreign Worker Birth Country

NIGERIA

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2004

Foreign Worker Institution of Education

UNIVERSITY OF NIGERIA COLLEGE OF MEDICINE

Foreign Worker Education Institution Address 1

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

Foreign Worker Education Institution Postal Code

Foreign Worker Experience with Employer

Foreign Worker Employer Pays for Education

Foreign Worker Currently Employed

Employer Completed Application

Preparer Name

Preparer Title

Senior Counsel

Preparer Email

Employer Information Declaration Name

Employer Information Declaration Title

President