Fiscal Year

2022

Case Number

A-21208-22895

Case Status

Certified-Expired

Received Date

2021-09-13

Decision Date

2022-03-15

Refile

N

Original File Date

2022-01-01 11:05:38

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

KATHERINE SHAW BETHEA HOSPITAL

Employer Name Slug

katherine-shaw-bethea-hospital

Employer Address 1

403 E. FIRST ST.

Employer Address 2

Employer City

DIXON

Employer City Slug

dixon

Employer State

ILLINOIS

Employer State Slug

illinois

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

61021

Employer Phone

815-285-5531

Employer Number of Employees

948

Employer Year Commenced Business

1897

NAICS Code

6221

FW Ownership Interest

N

Employer Contact Name

Suzanne Ravlin

Employer Contact Address 1

403 E. First Street

Employer Contact Address 2

Employer Contact City

Dixon

Employer Contact State/Province

ILLINOIS

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

61021

Employer Contact Phone

815-285-5513

Employer Contact Email

sravlin@ksbhospital.com

Agent Attorney Name

Kelly E Simon

Agent Attorney Firm Name

Thompson Coburn LLP

Agent Attorney Phone

314-552-6537

Agent Attorney Address 1

One US Bank Plaza

Agent Attorney Address 2

Ste. 2700

Agent Attorney City

St. Louis

Agent Attorney State/Province

MISSOURI

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

63101

Agent Attorney Email

ksimon@thompsoncoburn.com

PW Track Number

P10021014014959

PW SOC Code

29-1063

PW SOC Title

Internists, General

PW Skill Level

Level I

PW Wage

95264.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-05-25

PW Expiration Date

2021-08-23

Wage Offer From

371425.60

Wage Offer To

0.00

Average Salary

371425.60

Wage Unit of Pay

Year

Worksite Address 1

403 E. 1st Street

Worksite Address 2

Worksite City

Dixon

Worksite City Slug

dixon

Worksite State

ILLINOIS

Worksite Postal Code

61021

Job Title

Hospitalist

Job Title Slug

hospitalist

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

Requires Doctorate in Medicine M.D.; medical license from the State of Illinois; and be board certified or board eligible in Internal Medicine or Family 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

2021-06-22

SWA Job Order End Date

2021-07-26

Sunday Edition Newspaper

Y

First Newspaper Name

Rockford Register Star

First Advertisement Start Date

2021-06-27

Second Newspaper Ad Name

Rockford Register Star

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-07-04

Employer Website From Date

2021-06-17

Employer Website To Date

2021-07-26

Professional Organization Ad From Date

2022-01-01 11:05:38

Professional Organization Advertisement To Date

2022-01-01 11:05:38

Job Search Website From Date

2021-06-23

Job Search Website To Date

2021-07-07

Employee Referral Program From Date

2022-01-01 11:05:38

Employee Referral Program To Date

2022-01-01 11:05:38

Local Ethnic Paper From Date

2021-06-30

Local Ethnic Paper To Date

2021-06-30

Radio/TV Ad From Date

2022-01-01 11:05:38

Radio/TV Ad To Date

2022-01-01 11:05:38

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

CANADA

Foreign Worker Birth Country

CANADA

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

FAMILY MEDICINE

Foreign Worker Years of Education Completed

2018

Foreign Worker Institution of Education

UNIVERSITY OF ILLINOIS COLLEGE OF MEDICINE

Foreign Worker Education Institution Address 1

1853 W POLK ST.

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

CHICAGO

Foreign Worker Education Institution State/Province

IL

Foreign Worker Education Institution Country

UNITED STATES OF AMERICA

Foreign Worker Education Institution Postal Code

60612

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

Kelly E Simon

Preparer Title

Attorney

Preparer Email

ksimon@thompsoncoburn.com

Employer Information Declaration Name

Suzanne Ravlin

Employer Information Declaration Title

Vice PresidentChief Legal Officer