All Details of Green Card Application:
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Case Number: A-19347-95459
Fiscal year: 2020
Fiscal Year
2020
Case Number
A-19347-95459
Case Status
Certified
Received Date
2019-12-30
Decision Date
2020-05-07
Refile
N
Original File Date
2020-01-01 08:24:36
Previous SWA Case Number State
Schedule A Sheepherder
N
Employer Name
CRUSADERS CENTRAL CLINIC ASSOCIATION
Employer Name Slug
crusaders-central-clinic-association
Employer Address 1
1200 WEST STATE STREET
Employer Address 2
Employer City
ROCKFORD
Employer City Slug
rockford
Employer State
ILLINOIS
Employer State Slug
illinois
Employer Country
UNITED STATES OF AMERICA
Employer Postal Code
61102
Employer Phone
(815) 490-1600
Employer Number of Employees
307
Employer Year Commenced Business
1972
NAICS Code
621111
FW Ownership Interest
N
Employer Contact Name
PeggyAnne Davenport
Employer Contact Address 1
1200 WEST STATE STREET
Employer Contact Address 2
Employer Contact City
ROCKFORD
Employer Contact State/Province
ILLINOIS
Employer Contact Country
UNITED STATES OF AMERICA
Employer Contact Postal Code
61102
Employer Contact Phone
(815) 490-1600
Employer Contact Email
pdavenport@crusaderhealth.org
Agent Attorney Name
JAN M PEDERSON
Agent Attorney Firm Name
MAGGIO KATTAR
Agent Attorney Phone
2024830053
Agent Attorney Address 1
1800 Massachusetts Ave NW
Agent Attorney Address 2
Suite 300
Agent Attorney City
Washington
Agent Attorney State/Province
DISTRICT OF COLUMBIA
Agent Attorney Country
UNITED STATES OF AMERICA
Agent Attorney Postal Code
20036
Agent Attorney Email
jan@maggio-kattar.com
PW Track Number
P10019200024656
PW SOC Code
29-1062
PW SOC Title
FAMILY MEDICINE PHYSICIAN
PW Skill Level
N/A
PW Wage
208000.00
PW Unit of Pay
Year
PW Wage Source
OES
PW Determination Date
2019-11-12
PW Expiration Date
2020-06-30
Wage Offer From
208000.00
Wage Offer To
0.00
Average Salary
208000.00
Wage Unit of Pay
Year
Worksite Address 1
1200 WEST STATE STREET
Worksite Address 2
Worksite City
ROCKFORD
Worksite City Slug
rockford
Worksite State
ILLINOIS
Worksite Postal Code
61102
Job Title
FAMILY MEDICINE PHYSICIAN
Job Title Slug
family-medicine-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
MUST HAVE M.D. DEGREE OR FOREIGN DEGREE EQUIVALENT; BEBC IN FAMILY MEDICINE; FULL AND UNRESTRICTED IL MEDICAL LICENSE
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
2019-08-22
SWA Job Order End Date
2019-09-25
Sunday Edition Newspaper
Y
First Newspaper Name
ROCKFORD REGISTER STAR
First Advertisement Start Date
2019-07-28
Second Newspaper Ad Name
ROCKFORD REGISTER STAR
Second Advertisement Type
Newspaper
Second Ad Start Date
2019-08-04
Employer Website From Date
2020-01-01 08:24:36
Employer Website To Date
2020-01-01 08:24:36
Professional Organization Ad From Date
2020-01-01 08:24:36
Professional Organization Advertisement To Date
2020-01-01 08:24:36
Job Search Website From Date
2019-07-31
Job Search Website To Date
2019-08-06
Employee Referral Program From Date
2020-01-01 08:24:36
Employee Referral Program To Date
2020-01-01 08:24:36
Local Ethnic Paper From Date
2019-07-31
Local Ethnic Paper To Date
2019-07-31
Radio/TV Ad From Date
2019-08-03
Radio/TV Ad To Date
2019-08-04
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 MAMATA MEDICAL COLLEGE
Foreign Worker Education Institution Address 1
# 42161, OPP. ROTARY NAGAR, MAMATA MEDICAL COLLEGE RD
Foreign Worker Education Institution Address 2
POLICE HOUSING COLONY, NETAJI NAGAR, RAHEEM BAGH
Foreign Worker Education Institution City
KHAMMAM
Foreign Worker Education Institution State/Province
Foreign Worker Education Institution Country
INDIA
Foreign Worker Education Institution Postal Code
507002
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
JAN M PEDERSON
Preparer Title
ATTORNEY
Preparer Email
jan@maggio-kattar.com
Employer Information Declaration Name
GORDON EGGERS
Employer Information Declaration Title
PRESIDENT AND CEO