All Details of Green Card Application:

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Case Number: A-21167-01906

Fiscal year: 2022

Fiscal Year

2022

Case Number

A-21167-01906

Case Status

Withdrawn

Received Date

2021-10-05

Decision Date

2021-10-05

Refile

N

Original File Date

2022-01-01 10:14:55

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

FRANCISCAN ALLIANCE, INC.DBA FRANCISCAN PHYSICI

Employer Name Slug

franciscan-alliance-incdba-franciscan-physici

Employer Address 1

1515 DRAGOON TRAIL

Employer Address 2

Employer City

MISHAWAKA

Employer City Slug

mishawaka

Employer State

INDIANA

Employer State Slug

indiana

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

46544

Employer Phone

317 528 5700

Employer Number of Employees

3152

Employer Year Commenced Business

2011

NAICS Code

622110

FW Ownership Interest

N

Employer Contact Name

Claude Foreit

Employer Contact Address 1

1040 SIERRA DRIVE

Employer Contact Address 2

SUITE 1200

Employer Contact City

GREENWOOD

Employer Contact State/Province

INDIANA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

46143

Employer Contact Phone

317-528-7036

Employer Contact Email

CLAUDE.FOREIT@FRANCISCANALLIANCE.ORG

Agent Attorney Name

Giuliana Martinez Martinez

Agent Attorney Firm Name

Fragomen, Del Rey, Bernsen Loewy, LLP

Agent Attorney Phone

3122636101

Agent Attorney Address 1

333 West Wacker Drive

Agent Attorney Address 2

15th Floor

Agent Attorney City

Chicago

Agent Attorney State/Province

ILLINOIS

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

60606

Agent Attorney Email

gmartinez@fragomen.com

PW Track Number

P10020304893529

PW SOC Code

29-1063

PW SOC Title

Internists, General

PW Skill Level

Level I

PW Wage

79477.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-03-22

PW Expiration Date

2021-06-30

Wage Offer From

79477.00

Wage Offer To

0.00

Average Salary

79477.00

Wage Unit of Pay

Year

Worksite Address 1

1201 S. Main Street

Worksite Address 2

Worksite City

Crown Point

Worksite City Slug

crown-point

Worksite State

INDIANA

Worksite Postal Code

46307

Job Title

Hospitalist

Job Title Slug

hospitalist

Minimum Education

Other

Major Field of Study

MD or DO degree

Required Training

Y

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

This position requires a MD or DO degree or foreign equivalent. Employer will accept ECFMG equivalency to MD. Also must havebr 1. Completed a residency in Internal Medicine from an accredited institution;br 2. Licensed to practice Medicine in Indiana; andbr 3. Board Certified or Board Eligible in Family Medicine or Internal Medicine.

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

2021-04-16

SWA Job Order End Date

2021-05-17

Sunday Edition Newspaper

Y

First Newspaper Name

Chicago Tribune

First Advertisement Start Date

2021-04-25

Second Newspaper Ad Name

Chicago Tribune

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-05-02

Employer Website From Date

2021-04-16

Employer Website To Date

2021-05-21

Professional Organization Ad From Date

2022-01-01 10:14:55

Professional Organization Advertisement To Date

2022-01-01 10:14:55

Job Search Website From Date

2021-04-23

Job Search Website To Date

2021-05-07

Employee Referral Program From Date

2022-01-01 10:14:55

Employee Referral Program To Date

2022-01-01 10:14:55

Local Ethnic Paper From Date

2021-05-05

Local Ethnic Paper To Date

2021-05-05

Radio/TV Ad From Date

2022-01-01 10:14:55

Radio/TV Ad To Date

2022-01-01 10:14:55

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

Bachelor's

Foreign Worker Information: Major

MEDICINE AND SURGERY

Foreign Worker Years of Education Completed

2001

Foreign Worker Institution of Education

PONDICHERRY UNIVERSITY

Foreign Worker Education Institution Address 1

PONDICHERRY UNIVERSITY, CHINNA KALAPET

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

KALAPET

Foreign Worker Education Institution State/Province

PUDUCHERRY

Foreign Worker Education Institution Country

INDIA

Foreign Worker Education Institution Postal Code

605014

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

Giuliana Martinez Martinez

Preparer Title

Associate

Preparer Email

gmartinez@fragomen.com

Employer Information Declaration Name

Claude Foreit

Employer Information Declaration Title

DO, MHA, Corporate VP