| LCA CASE NUMBER | I-200-21063-120703 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-04 |
| DECISION DATE | 2021-03-11 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Resident Physician in Psychiatry |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-04-01 |
| END DATE | 2021-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Medical College of Wisconsin Affiliated Hospitals |
| EMPLOYER ADDRESS1 | 8701 Watertown Plank Road |
| EMPLOYER CITY | Milwaukee |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 53226 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14149554578 |
| NAICS CODE | 611310 |
| EMPLOYER POC LAST NAME | Wasedalek |
| EMPLOYER POC FIRST NAME | Lori |
| EMPLOYER POC MIDDLE NAME | Jean |
| 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 | Grzeca |
| AGENT ATTORNEY FIRST NAME | Jerome |
| AGENT ATTORNEY MIDDLE NAME | Gerard |
| AGENT ATTORNEY ADDRESS1 | 1434 West State Street |
| AGENT ATTORNEY CITY | Milwaukee |
| AGENT ATTORNEY STATE | WI |
| AGENT ATTORNEY POSTAL CODE | 53233 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14143423000 |
| AGENT ATTORNEY EMAIL ADDRESS | clients@grzecalaw.com |
| LAWFIRM NAME BUSINESS NAME | Grzeca Law Group, 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 | Milwaukee County Mental Health Complex |
| WORKSITE ADDRESS1 | 9455 Watertown Plank RD |
| LCA CASE WORKLOC1 CITY | Milwaukee |
| WORKSITE COUNTY | MILWAUKEE |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 53226 |
| LCA CASE WAGE RATE FROM | 65000 |
| LCA CASE WAGE RATE TO | 70000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 64980 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2020 |
| PW SURVEY PUBLISHER | Association of American Medical Colleges |
| PW SURVEY NAME | Survey of Resident/Fellow Stipends and Benefits |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Grzeca |
| PREPARER FIRST NAME | Jerome |
| PREPARER MIDDLE INITIAL | G |
| PREPARER BUSINESS NAME | Grzeca Law Group, S.C. |
| PREPARER EMAIL | clients@grzecalaw.com |
