Fiscal Year

2022

Case Number

A-21243-38477

Case Status

Certified

Received Date

2021-12-21

Decision Date

2022-08-08

Refile

N

Original File Date

2022-01-01 11:50:17

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

PHYSICIAN SERVICES CORPORATION OF SOUTHERN IL

Employer Name Slug

physician-services-corporation-of-southern-il

Employer Address 1

1 GOOD SAMARITAN WAY

Employer Address 2

Employer City

MOUNT VERNON

Employer City Slug

mount-vernon

Employer State

ILLINOIS

Employer State Slug

illinois

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

62864

Employer Phone

6188993636

Employer Number of Employees

38

Employer Year Commenced Business

1994

NAICS Code

621111

FW Ownership Interest

N

Employer Contact Name

Jessica Hall

Employer Contact Address 1

1 Good Samaritan Way

Employer Contact Address 2

Employer Contact City

Mount Vernon

Employer Contact State/Province

ILLINOIS

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

62864

Employer Contact Phone

618-899-3636

Employer Contact Email

jessica.hall@ssmhealth.com

Agent Attorney Name

Bradley A Sandler

Agent Attorney Firm Name

Stinson LLP

Agent Attorney Phone

3147193006

Agent Attorney Address 1

7700 Forsyth Blvd.

Agent Attorney Address 2

Suite 1100

Agent Attorney City

St. Louis

Agent Attorney State/Province

MISSOURI

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

63105

Agent Attorney Email

brad.sandler@stinson.com

PW Track Number

P10021193456993

PW SOC Code

29-1063

PW SOC Title

Internists, General

PW Skill Level

Level I

PW Wage

107661.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-12-15

PW Expiration Date

2022-06-30

Wage Offer From

225000.00

Wage Offer To

300000.00

Average Salary

262500.00

Wage Unit of Pay

Year

Worksite Address 1

1441 W. Broadway St.

Worksite Address 2

Worksite City

Centralia

Worksite City Slug

centralia

Worksite State

ILLINOIS

Worksite Postal Code

62801

Job Title

Primary Care Physician

Job Title Slug

primary-care-physician

Minimum Education

Other

Major Field of Study

Medicine

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

Illinois Medical License eligible.

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

2021-07-15

SWA Job Order End Date

2021-08-23

Sunday Edition Newspaper

Y

First Newspaper Name

The Southern Illinoisan

First Advertisement Start Date

2021-07-18

Second Newspaper Ad Name

The Southern Illinoisan

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-07-25

Employer Website From Date

2022-01-01 11:50:17

Employer Website To Date

2022-01-01 11:50:17

Professional Organization Ad From Date

2021-07-27

Professional Organization Advertisement To Date

2021-07-27

Job Search Website From Date

2021-08-06

Job Search Website To Date

2021-08-13

Employee Referral Program From Date

2022-01-01 11:50:17

Employee Referral Program To Date

2022-01-01 11:50:17

Local Ethnic Paper From Date

2021-07-17

Local Ethnic Paper To Date

2021-07-17

Radio/TV Ad From Date

2022-01-01 11:50:17

Radio/TV Ad To Date

2022-01-01 11:50:17

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

PAKISTAN

Foreign Worker Birth Country

PAKISTAN

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2012

Foreign Worker Institution of Education

KING EDWARD MEDICAL UNIVERSITY LAHORE

Foreign Worker Education Institution Address 1

NILA GUMBAD CHOWK, NEELA GUMBAD

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

LAHORE

Foreign Worker Education Institution State/Province

PUNJAB

Foreign Worker Education Institution Country

PAKISTAN

Foreign Worker Education Institution Postal Code

54000

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

Bradley A Sandler

Preparer Title

attorney

Preparer Email

brad.sandler@stinson.com

Employer Information Declaration Name

Thomas Hanley

Employer Information Declaration Title

President