Fiscal Year

2020

Case Number

A-19309-79301

Case Status

Certified

Received Date

2019-12-03

Decision Date

2020-04-22

Refile

N

Original File Date

2020-01-01 08:14:57

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

INPATIENT CONSULTANTS OF ILLINOIS, P.C.

Employer Name Slug

inpatient-consultants-of-illinois-pc

Employer Address 1

265 BROOKVIEW CENTRE WAY, SUITE 400

Employer Address 2

Employer City

KNOXVILLE

Employer City Slug

knoxville

Employer State

TENNESSEE

Employer State Slug

tennessee

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

37919

Employer Phone

8882032264

Employer Number of Employees

112

Employer Year Commenced Business

1999

NAICS Code

621111

FW Ownership Interest

N

Employer Contact Name

Tiffany Goins

Employer Contact Address 1

265 Brookview Centre Way, Suite 400

Employer Contact Address 2

Employer Contact City

Knoxville

Employer Contact State/Province

TENNESSEE

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

37919

Employer Contact Phone

8656931000

Employer Contact Email

tiffany_goins@teamhealth.com

Agent Attorney Name

Rachel I Bus

Agent Attorney Firm Name

Law Offices of Brelje and Associates P.C.

Agent Attorney Phone

6235365750

Agent Attorney Address 1

3080 N Litchfield Road

Agent Attorney Address 2

Agent Attorney City

Goodyear

Agent Attorney State/Province

ARIZONA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

85395

Agent Attorney Email

rbus@breljelaw.com

PW Track Number

P10018283913719

PW SOC Code

29-1063

PW SOC Title

Internists, General

PW Skill Level

Level I

PW Wage

113069.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2019-02-12

PW Expiration Date

2019-06-30

Wage Offer From

244854.00

Wage Offer To

0.00

Average Salary

244854.00

Wage Unit of Pay

Year

Worksite Address 1

1 Ingalls Drive

Worksite Address 2

Worksite City

Harvey

Worksite City Slug

harvey

Worksite State

ILLINOIS

Worksite Postal Code

60426

Job Title

Hospitalist Physician

Job Title Slug

hospitalist-physician

Minimum Education

Other

Major Field of Study

Medicine

Required Training

N

Required Experience

N

Required Experience Months

Accept Alternative Field of Study

N

Accept Alternative Major Field of Study

Accept Alternative Combination

N

Accept Alternative Combination Education

Accept Alternative Combination Education Years

Accept Foreign Education

Y

Accept Alternative Occupation

N

Accept Alternative Occupation Months

Accept Alternative Job Title

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

Medical Degree or foreign equivalent; Eligible for state medical license; Board Certified or Eligible BCE in Internal or Family Medicine; Background Check Required.

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

2019-06-20

SWA Job Order End Date

2019-07-23

Sunday Edition Newspaper

Y

First Newspaper Name

Chicago Tribune

First Advertisement Start Date

2019-06-16

Second Newspaper Ad Name

Chicago Tribune

Second Advertisement Type

Newspaper

Second Ad Start Date

2019-06-23

Employer Website From Date

2020-01-01 08:14:57

Employer Website To Date

2020-01-01 08:14:57

Professional Organization Ad From Date

2020-01-01 08:14:57

Professional Organization Advertisement To Date

2020-01-01 08:14:57

Job Search Website From Date

2019-06-16

Job Search Website To Date

2019-07-12

Employee Referral Program From Date

2020-01-01 08:14:57

Employee Referral Program To Date

2020-01-01 08:14:57

Local Ethnic Paper From Date

2019-06-19

Local Ethnic Paper To Date

2019-06-19

Radio/TV Ad From Date

2019-07-31

Radio/TV Ad To Date

2019-07-31

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

INDIA

Foreign Worker Birth Country

INDIA

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2008

Foreign Worker Institution of Education

DR. NTR UNIVERSITY OF HEALTH SCIENCES

Foreign Worker Education Institution Address 1

GUNADALA

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

VIJAYAWADA

Foreign Worker Education Institution State/Province

ANDHRA PRADESH

Foreign Worker Education Institution Country

INDIA

Foreign Worker Education Institution Postal Code

Foreign Worker Experience with Employer

N/A

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

Rachel Bus

Preparer Title

Attorney

Preparer Email

rbus@breljelaw.com

Employer Information Declaration Name

Stephen J Murtaugh

Employer Information Declaration Title

Authorized Signatory