| LCA CASE NUMBER | I-200-21063-120409 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-04 |
| DECISION DATE | 2021-03-11 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Fellow Physician |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-01 |
| END DATE | 2024-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Medical College of Wisconsin Affiliated Hospitals, Inc. |
| EMPLOYER ADDRESS1 | 8701 Watertown Plank Road |
| EMPLOYER CITY | Milwaukee |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 53226 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | WI |
| EMPLOYER PHONE | 14149554578 |
| NAICS CODE | 611310 |
| EMPLOYER POC LAST NAME | Wasedalek |
| EMPLOYER POC FIRST NAME | Lori |
| EMPLOYER POC MIDDLE NAME | J. |
| EMPLOYER POC JOB TITLE | Program Manager I |
| EMPLOYER POC ADDRESS 1 | 8701 Watertown Plank Road |
| EMPLOYER POC CITY | Milwaukee |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 53226 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14149554578 |
| EMPLOYER POC EMAIL | lorijw@mcw.edu |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Chenhalls |
| AGENT ATTORNEY FIRST NAME | Kelley |
| AGENT ATTORNEY MIDDLE NAME | Ann |
| AGENT ATTORNEY ADDRESS1 | 11270 W. Park Place, Suite 200 |
| AGENT ATTORNEY CITY | Milwaukee |
| AGENT ATTORNEY STATE | WI |
| AGENT ATTORNEY POSTAL CODE | 53224 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | WI |
| AGENT ATTORNEY PHONE | 14148928298 |
| AGENT ATTORNEY EMAIL ADDRESS | kchenhalls@cnvisalaw.com |
|
| LAWFIRM NAME BUSINESS NAME | Chenhalls Nissen, S.C. |
| STATE OF HIGHEST COURT | WI |
| NAME OF HIGHEST STATE COURT | Wisconsin Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Froedtert Hospital |
| WORKSITE ADDRESS1 | 9200 W. Wisconsin Ave. |
| LCA CASE WORKLOC1 CITY | Milwaukee |
| WORKSITE COUNTY | MILWAUKEE |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 53226 |
| LCA CASE WAGE RATE FROM | 66090 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 64918 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2020 |
| PW SURVEY PUBLISHER | Association of American Medical Colleges (AAMC) |
| PW SURVEY NAME | Survey of Resident/Fellow Stipends & Benefits Special Report |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
